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Massachusetts rates for HCPCS 21603

Excision Ch Wal Tum W/Rib W/Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.15 / $1,746.46 / $2,628.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $5,904.00 / $20,202.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.00 / $2,880.89 / $11,277.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.28 / $2,948.69 / $4,602.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,591.96 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.45 / $2,280.27 / $3,104.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.56 / $3,904.46 / $5,139.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,904.00 / $20,202.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.51 / $2,980.61 / $11,832.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.98 / $2,841.85 / $5,201.14