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Massachusetts rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.88 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.61 / $719.55 / $1,152.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $3,315.28 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.15 / $1,371.60 / $5,256.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.07 / $1,108.99 / $1,956.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.93 / $1,308.90 / $2,771.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.88 / $1,555.50 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.79 / $1,193.53 / $1,647.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.80 / $1,837.29 / $2,648.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $4,569.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.60 / $1,710.70 / $6,232.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $3,592.00 / $8,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.17 / $1,242.20 / $2,377.48