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Massachusetts rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $467.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $1,202.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $263.03 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $309.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $288.40 / $416.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $3,715.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,862.09 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $489.78