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Massachusetts rates for HCPCS 67570

Optic Nerve Decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.14 / $1,426.59 / $2,017.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $5,268.00 / $10,138.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.77 / $1,750.73 / $9,100.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.84 / $855.84 / $2,160.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.51 / $2,082.51 / $2,082.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.50 / $2,265.34 / $3,864.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.43 / $2,050.69 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.25 / $1,743.09 / $2,406.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.36 / $3,090.20 / $6,292.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.02 / $1,788.47 / $9,100.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,402.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.04 / $1,654.87 / $3,779.51