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Massachusetts rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.94 / $1,411.99 / $2,139.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.52 / $4,751.20 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.87 / $2,380.63 / $10,981.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.43 / $2,255.46 / $3,933.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,106.23 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.69 / $1,852.95 / $2,535.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.68 / $3,106.22 / $4,088.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.24 / $2,487.36 / $10,981.50
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
$1,417.96 / $2,087.73 / $4,475.74