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Massachusetts rates for HCPCS 15101

Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.76 / $2,447.48 / $4,410.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.57 / $941.10 / $4,142.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.92 / $165.00 / $291.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.97 / $300.00 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.85 / $1,818.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00