go back

Massachusetts rates for HCPCS 0576T

Interrogation Dev Eval Icds W/Ss Eltrd In Person

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.41 / $54.41 / $54.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $56.07 / $62.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.96 / $2,078.00 / $4,256.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.51 / $88.19 / $565.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.33 / $72.18 / $89.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $111.44 / $321.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.72 / $125.96 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.48 / $111.48 / $153.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $147.80 / $200.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.96 / $2,078.00 / $4,256.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.41 / $88.19 / $565.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.41 / $83.58 / $197.23