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Massachusetts rates for HCPCS 66989

Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $2,955.00 / $7,203.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$658.34 / $658.34 / $658.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.80 / $1,017.00 / $1,392.04
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$131.66 / $153.01 / $200.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.86 / $4,639.43 / $12,850.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$14,161.14 / $14,161.14 / $14,161.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.94 / $1,275.14 / $3,243.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.99 / $1,671.88 / $2,401.98
BCBS
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$238.20 / $334.38 / $444.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,937.64 / $4,937.64 / $4,937.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.59 / $1,507.02 / $2,735.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,367.54 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.56 / $1,162.40 / $1,604.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.33 / $2,076.67 / $8,679.52
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,575.22 / $3,575.22 / $3,575.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.02 / $1,167.46 / $1,226.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,916.00 / $16,742.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$14,161.14 / $14,161.14 / $14,161.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.98 / $1,316.52 / $6,188.96
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
$870.20 / $1,348.19 / $2,772.67