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Massachusetts rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.47 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.62 / $800.20 / $1,163.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,997.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.19 / $1,053.08 / $4,556.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.22 / $964.70 / $1,704.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.37 / $452.37 / $1,392.16
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
$642.25 / $1,242.46 / $2,308.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.17 / $1,349.66 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.66 / $1,019.92 / $1,407.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.36 / $1,581.09 / $2,381.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,525.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.00 / $1,268.95 / $5,690.45
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
$721.87 / $1,101.17 / $2,279.84