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Massachusetts rates for HCPCS 22102

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,097.00 / $13,940.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.76 / $194.76 / $1,887.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.27 / $1,643.90 / $6,679.00
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
Facility
Modifier
AS
Low / Median / High Price
$194.76 / $194.76 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00