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Massachusetts rates for HCPCS 0164U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.41 / $252.05 / $341.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.65 / $78.41 / $82.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.91 / $532.10 / $532.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $67.20 / $196.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.54 / $80.09 / $254.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $136.69 / $170.88
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
$161.50 / $161.50 / $190.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $112.02 / $261.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.91 / $532.10 / $532.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $67.20 / $196.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.41 / $78.41 / $196.04