go back

Massachusetts rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.13 / $559.20 / $800.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.11 / $3,764.00 / $11,879.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.14 / $705.26 / $3,606.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.88 / $605.88 / $2,643.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.18 / $2,748.18 / $2,748.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.03 / $890.58 / $1,619.49
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.06 / $1,077.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.15 / $686.92 / $948.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.44 / $1,223.38 / $4,940.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,249.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.77 / $708.20 / $3,606.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,249.00 / $10,216.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.13 / $682.81 / $1,415.74