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Massachusetts rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.65 / $2,618.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.93 / $365.65 / $708.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.24 / $960.31 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.21 / $687.46 / $2,166.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.48 / $458.22 / $808.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.39 / $699.02 / $1,469.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $642.72 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.38 / $701.98 / $969.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.33 / $767.26 / $1,351.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,058.23 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.69 / $914.35 / $3,579.28
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
$375.84 / $680.57 / $1,351.23