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Massachusetts rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.82 / $1,411.87 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $102.71 / $332.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.15 / $492.96 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $192.73 / $619.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $106.70 / $204.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $134.74 / $316.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $167.36 / $346.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.40 / $184.26 / $254.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.70 / $194.56 / $362.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.11 / $299.86 / $586.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.64 / $219.64 / $219.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.80 / $253.61 / $1,107.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,078.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.82 / $201.88 / $358.61