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Massachusetts rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

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
$761.90 / $856.91 / $1,343.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,097.00 / $9,287.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.51 / $1,471.84 / $6,333.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.86 / $1,389.93 / $2,507.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.24 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.70 / $1,238.82 / $1,702.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.84 / $2,219.98 / $2,928.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $5,904.00 / $15,421.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.34 / $1,615.46 / $6,333.84
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
$844.97 / $1,284.58 / $3,620.63