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Massachusetts rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.50 / $32.50 / $32.50
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$863.44 / $2,872.92 / $4,765.95
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$144.63 / $1,675.87 / $3,591.16
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$144.63 / $1,045.85 / $3,830.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $82.00 / $818.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$240.00 / $240.00 / $240.00
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$240.00 / $240.00 / $240.00
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
$82.00 / $82.00 / $82.00
Mass General Brigham
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$39.50 / $39.50 / $39.50
Mass General Brigham
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$39.50 / $39.50 / $39.50
Mass General Brigham
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$39.50 / $39.50 / $39.50