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Massachusetts rates for HCPCS 0253T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,047.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $6,165.95 / $16,595.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,621.81
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
$1,071.52 / $1,905.46 / $2,951.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $16,595.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $7,413.10
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
$891.25 / $1,412.54 / $3,090.30