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Massachusetts rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $2,137.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $2,570.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $2,511.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,380.38 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $1,698.24
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $2,290.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,630.78 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $2,238.72