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Massachusetts rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.16 / $2,066.46 / $3,216.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,826.85 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.38 / $3,229.94 / $12,257.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.78 / $3,262.79 / $5,889.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.66 / $2,672.50 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.37 / $2,455.36 / $3,458.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.13 / $3,908.76 / $5,178.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,078.00 / $7,835.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.80 / $3,354.17 / $12,257.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.61 / $2,868.93 / $5,909.14