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Massachusetts rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.82 / $653.04 / $998.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,814.37 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.25 / $841.28 / $4,346.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.86 / $1,193.91 / $1,586.28
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
$559.12 / $1,078.10 / $1,892.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.66 / $1,302.02 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.53 / $830.04 / $1,145.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.36 / $1,474.97 / $4,172.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.79 / $850.79 / $940.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,249.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.91 / $851.15 / $4,346.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,715.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.98 / $826.89 / $1,767.79