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Massachusetts rates for HCPCS 13102

Repair Complex Trunk Each Additional 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.02 / $1,886.00 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.17 / $97.35 / $271.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.71 / $941.10 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $167.10 / $512.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $106.48 / $187.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $181.96 / $287.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.18 / $169.23 / $373.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.25 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $160.88 / $222.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.65 / $183.42 / $314.82
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.42 / $917.42 / $2,032.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.62 / $182.88 / $187.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.13 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $229.50 / $830.32
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
$93.51 / $167.00 / $313.54