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Massachusetts rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.67 / $1,268.69 / $1,863.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,878.00 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.79 / $1,602.03 / $8,349.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.99 / $2,256.91 / $2,999.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $386.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.28 / $2,034.49 / $3,750.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.33 / $1,801.72 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.06 / $1,569.26 / $2,166.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.40 / $2,392.62 / $3,490.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,078.00 / $7,958.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.89 / $1,659.96 / $8,349.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,408.00 / $6,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.59 / $1,515.15 / $3,536.88