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Massachusetts rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.20 / $928.01 / $1,368.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,950.84 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.81 / $1,197.52 / $6,454.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.82 / $692.82 / $1,316.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.32 / $1,346.32 / $1,346.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.21 / $1,549.69 / $2,582.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.54 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.26 / $1,241.98 / $1,714.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.13 / $2,193.51 / $3,618.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.98 / $1,198.10 / $6,454.32
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
$795.25 / $1,111.15 / $2,593.82