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Massachusetts rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.80 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $166.10 / $398.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.01 / $679.46 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.17 / $244.17 / $720.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.30 / $152.49 / $269.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.18 / $255.21 / $405.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $226.02 / $452.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.93 / $213.88 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.95 / $235.59 / $325.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.06 / $258.77 / $477.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.63 / $249.53 / $512.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.09 / $307.58 / $1,242.41
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.63 / $178.35 / $359.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.14 / $249.91 / $509.44