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Massachusetts rates for HCPCS V2629

Prosthetic Eye, Other Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.28 / $750.00 / $750.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $238.00 / $759.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.00 / $238.00 / $238.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.75 / $210.47 / $225.92
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $759.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $546.00 / $546.00