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Massachusetts rates for HCPCS 66175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,895.00 / $12,491.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,581.60 / $5,581.60 / $5,581.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.72 / $1,555.58 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,916.00 / $16,742.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $10,764.00