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Massachusetts rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $181.70 / $240.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.94 / $55.30 / $63.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.46 / $375.25 / $375.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $47.40 / $395.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $112.97 / $197.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.26 / $74.26 / $74.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.86 / $61.62 / $179.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $87.45 / $104.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.89 / $113.89 / $133.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $164.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.46 / $375.25 / $375.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $47.40 / $395.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $47.40 / $296.64