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Massachusetts rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.83 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $469.53 / $709.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,209.69 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.79 / $904.27 / $3,329.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.27 / $716.65 / $1,264.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.66 / $844.99 / $1,769.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.43 / $1,005.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.67 / $823.96 / $1,137.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.39 / $1,175.18 / $1,602.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,353.19 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.64 / $1,064.22 / $4,215.04
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
$448.79 / $818.96 / $1,692.87