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Massachusetts rates for HCPCS 0255U

Andrology Infertility Sperm Capacitation Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.12 / $71.09 / $96.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.78 / $22.12 / $23.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $150.10 / $150.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $18.96 / $55.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.75 / $24.65 / $71.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $38.40 / $48.01
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
$45.74 / $45.74 / $53.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $73.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $150.10 / $150.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $18.96 / $55.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $18.96 / $55.30