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Massachusetts rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,764.00 / $9,039.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.42 / $1,593.42 / $1,593.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.21 / $1,366.32 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,249.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,715.00 / $8,766.00