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Massachusetts rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.24 / $2,618.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $282.24 / $455.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.52 / $947.00 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.28 / $538.38 / $1,594.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.83 / $333.89 / $592.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.09 / $585.29 / $999.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.07 / $515.70 / $1,132.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.55 / $468.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.99 / $534.03 / $737.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.56 / $568.27 / $1,030.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.59 / $499.59 / $499.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.39 / $674.39 / $674.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $696.50 / $2,732.88
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
$289.44 / $525.55 / $1,044.74