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Massachusetts rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.17 / $1,145.67 / $3,342.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.84 / $247.59 / $646.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $781.24 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.06 / $364.50 / $1,103.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.50 / $234.65 / $414.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.94 / $400.98 / $661.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.22 / $380.94 / $761.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.97 / $329.14 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $368.87 / $511.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.19 / $396.84 / $709.49
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.61 / $439.97 / $1,962.28
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.92 / $437.62 / $650.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,042.92 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.28 / $468.55 / $1,878.96
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
$193.59 / $354.14 / $761.24