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Massachusetts rates for HCPCS 21194

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,048.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.51 / $1,398.96 / $2,281.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.16 / $4,761.89 / $13,133.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.58 / $2,445.15 / $17,154.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.54 / $2,267.69 / $4,131.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,240.46 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.18 / $1,971.05 / $2,684.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.27 / $3,315.47 / $4,364.20
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
$1,509.24 / $2,603.81 / $17,154.97
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
$1,488.34 / $2,159.48 / $4,121.17