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Massachusetts rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $2,951.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,311.31 / $7,762.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $2,344.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $3,090.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,311.31 / $7,762.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $3,630.78