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Massachusetts rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,764.00 / $11,879.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.18 / $2,748.18 / $2,748.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.08 / $1,486.24 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,249.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,715.00 / $8,766.00