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Massachusetts rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.00 / $3,125.12 / $6,107.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,035.35 / $2,035.35 / $2,035.35
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$128.11 / $128.11 / $128.11
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$480.42 / $480.42 / $480.42
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$96.08 / $96.08 / $96.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.74 / $789.17 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$320.27 / $379.25 / $510.78
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$480.42 / $568.88 / $1,251.28
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$87.36 / $113.78 / $153.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.81 / $3,764.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,305.69 / $1,305.69 / $1,305.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$4,569.92 / $4,569.92 / $4,569.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$979.27 / $979.27 / $979.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.82 / $899.44 / $6,276.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.69 / $1,073.51 / $1,418.85
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,004.11 / $2,004.11 / $2,088.23
BCBS
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$564.66 / $747.47 / $993.19
BCBS
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$152.13 / $213.56 / $283.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.42 / $1,593.42 / $1,593.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $979.63 / $2,012.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.40 / $1,164.58 / $7,218.72
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.92 / $742.42 / $1,024.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.68 / $1,330.61 / $4,054.78
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.08 / $2,882.81 / $8,530.71
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.71 / $867.20 / $1,700.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,249.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,305.69 / $1,305.69 / $1,305.69
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$4,569.92 / $4,569.92 / $4,569.92
Mass General Brigham
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$979.27 / $979.27 / $979.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.46 / $973.93 / $6,276.56
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.37 / $1,393.42 / $4,311.85
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.91 / $696.50 / $1,121.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,997.00 / $9,039.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.04 / $891.27 / $1,771.15