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Massachusetts rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.56 / $2,628.00 / $6,665.63
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
$786.88 / $1,709.98 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,764.00 / $9,039.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,997.00 / $9,039.00