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Massachusetts rates for HCPCS 65855

Trabeculoplasty By Laser Surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $1,919.00 / $3,469.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$755.99 / $755.99 / $755.99
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$223.02 / $237.89 / $255.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.12 / $340.97 / $725.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$501.82 / $1,046.26 / $2,233.42
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$207.84 / $250.56 / $433.60
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$39.95 / $49.69 / $58.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.66 / $1,106.00 / $3,472.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$720.56 / $720.56 / $720.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.99 / $404.22 / $3,680.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.67 / $311.08 / $549.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.70 / $430.16 / $601.79
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$540.46 / $540.46 / $1,012.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.48 / $171.48 / $171.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.64 / $433.63 / $758.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.77 / $305.89 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.80 / $336.84 / $464.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.45 / $519.50 / $791.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.02 / $127.02 / $132.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.56 / $346.35 / $519.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,600.00 / $7,161.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$720.56 / $720.56 / $720.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.30 / $479.79 / $4,509.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,078.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.43 / $423.52 / $807.46