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Massachusetts rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.27 / $376.27 / $376.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.27 / $438.31 / $1,039.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.13 / $2,119.90 / $4,535.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.47 / $616.35 / $840.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.30 / $1,112.04 / $1,432.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $632.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.70 / $1,107.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.26 / $697.26 / $732.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.60 / $4,535.59 / $4,535.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.39 / $460.33 / $840.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.39 / $460.33 / $794.71