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Massachusetts rates for HCPCS 92316

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes

Facilitymedian $30 · 10th–90th $15–$490%10%10th90th$30Professionalmedian $71 · 10th–90th $26–$1580%5%10th90th$71$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $69.18 / $114.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $316.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $79.43 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $64.57 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $75.86 / $234.42
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $25.12 / $42.66
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $81.28 / $257.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $316.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $79.43 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $64.57 / $199.53