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Massachusetts rates for HCPCS 67105

Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.26 / $2,809.00 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.42 / $645.30 / $854.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.26 / $1,267.00 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.67 / $578.78 / $3,252.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.00 / $421.85 / $745.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.48 / $577.50 / $766.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.17 / $218.17 / $218.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.81 / $588.42 / $1,045.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.37 / $592.60 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.83 / $409.38 / $565.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.23 / $675.84 / $958.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,638.92 / $5,638.92 / $5,638.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.84 / $460.43 / $1,032.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,181.48 / $11,500.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.78 / $846.10 / $4,446.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,078.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.82 / $578.78 / $980.99