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Massachusetts rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.21 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.52 / $365.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.52 / $736.00 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.11 / $269.91 / $1,018.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.87 / $216.93 / $382.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.98 / $291.83 / $535.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.41 / $304.27 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.18 / $245.81 / $339.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.08 / $361.24 / $540.67
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.78 / $408.78 / $415.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.84 / $320.45 / $1,268.72
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
$157.62 / $249.49 / $489.86