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Massachusetts rates for HCPCS 66170

Fstlj Sclera Glaucoma Trabeculect Ab Externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.00 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.94 / $3,715.55 / $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
$1,084.57 / $1,909.00 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,874.74 / $4,874.74 / $4,959.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,525.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,715.00 / $8,766.00