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Massachusetts rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.79 / $153.05 / $194.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.86 / $941.10 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.81 / $285.50 / $2,380.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.11 / $268.58 / $548.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.55 / $311.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.10 / $200.74 / $273.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.42 / $353.29 / $500.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,000.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.23 / $301.00 / $2,380.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.76 / $272.62 / $469.28