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Massachusetts rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.16 / $2,663.12 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $4,236.14 / $9,401.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$652.85 / $652.85 / $652.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.42 / $1,593.42 / $1,593.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.47 / $1,811.48 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.79 / $1,062.79 / $1,062.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,710.74 / $16,394.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$652.85 / $652.85 / $652.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,402.00 / $8,810.00