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Massachusetts rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $1,122.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $831.76 / $4,570.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $660.69 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,148.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $831.76 / $4,570.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $660.69 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $478.63 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $758.58