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Massachusetts rates for HCPCS 65785

Implantation of intrastromal corneal ring segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,890.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,981.07 / $12,882.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,698.24 / $6,025.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,949.84 / $5,754.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $851.14 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $4,168.69
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,888.44 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,137.96 / $5,495.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,897.79 / $13,803.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,698.24 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,888.44 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,862.09 / $5,370.32