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Massachusetts rates for HCPCS 24920

Amputation Arm Thru Humerus Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.21 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.65 / $726.92 / $1,156.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.37 / $4,839.24 / $28,594.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.64 / $1,322.59 / $5,584.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.37 / $1,152.10 / $2,110.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,199.84 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.99 / $1,028.41 / $1,407.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.60 / $1,743.76 / $2,295.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.96 / $1,378.73 / $5,584.21
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
$763.30 / $1,153.57 / $2,440.75