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Massachusetts rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.41 / $2,671.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.89 / $729.50 / $1,304.49
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
$597.05 / $1,215.30 / $4,742.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.77 / $1,000.70 / $1,765.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.22 / $1,381.66 / $1,966.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.36 / $1,186.31 / $2,451.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.50 / $1,403.60 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.26 / $1,093.25 / $1,509.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.04 / $1,653.67 / $2,412.64
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,822.81 / $3,822.81 / $3,822.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $4,476.54 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.07 / $1,514.45 / $5,701.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.17 / $1,100.65 / $2,321.44