go back

Massachusetts rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.19 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$710.00 / $710.00 / $710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.48 / $1,016.53 / $1,512.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,728.00 / $11,879.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$7,881.75 / $7,881.75 / $7,881.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.35 / $1,287.47 / $3,539.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.17 / $1,235.57 / $1,711.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.18 / $2,748.18 / $2,748.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.29 / $1,335.70 / $2,373.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.29 / $1,347.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.43 / $859.04 / $1,185.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.40 / $1,529.43 / $6,477.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,916.00 / $12,850.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$7,881.75 / $7,881.75 / $7,881.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.96 / $1,507.66 / $4,714.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.96 / $1,356.89 / $2,051.84