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Massachusetts rates for HCPCS 21193

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.00 / $2,894.00 / $6,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,262.13 / $2,022.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.33 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.72 / $2,189.52 / $14,942.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.81 / $2,373.94 / $3,592.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.05 / $2,033.90 / $3,572.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,938.91 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.17 / $1,705.75 / $2,322.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.34 / $3,005.99 / $3,965.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.15 / $2,252.65 / $14,942.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.29 / $1,858.01 / $3,565.12