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Massachusetts rates for HCPCS 15630

Delay Flap/Sctj Flap Eyelids Nose Ears/Lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.05 / $2,414.00 / $4,355.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.37 / $421.71 / $797.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.37 / $2,386.67 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.38 / $721.48 / $2,868.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.19 / $541.04 / $954.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.77 / $767.06 / $1,128.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.72 / $663.28 / $1,340.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.72 / $758.88 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.44 / $656.85 / $907.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.85 / $899.73 / $1,393.76
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,232.85 / $4,232.85 / $4,232.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.32 / $864.24 / $3,354.48
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
$413.03 / $641.64 / $1,271.85