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Massachusetts rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $436.52 / $1,096.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,344.23 / $5,248.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $512.86 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $501.19 / $1,288.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $436.52 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,122.02
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
$245.47 / $645.65 / $1,621.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,344.23 / $5,248.07
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $512.86 / $1,698.24
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
$239.88 / $512.86 / $1,479.11