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Massachusetts rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.08 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.06 / $62.79 / $98.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.43 / $714.13 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $126.51 / $3,583.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.36 / $76.59 / $138.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.52 / $105.20 / $194.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.93 / $199.11 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $84.21 / $142.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.66 / $129.99 / $168.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $953.00 / $2,796.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.16 / $190.52 / $3,583.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $104.75 / $544.60