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Massachusetts rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.55 / $1,328.53 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.94 / $264.07 / $692.20
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
$215.77 / $442.46 / $1,429.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.10 / $301.73 / $532.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.95 / $482.00 / $747.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.30 / $467.90 / $911.17
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.95 / $423.22 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.66 / $435.17 / $600.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.07 / $513.19 / $837.40
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.19 / $492.07 / $1,859.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.07 / $489.89 / $611.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $1,348.50 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.26 / $562.26 / $2,228.32
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
$232.64 / $419.15 / $849.67