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Massachusetts rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.04 / $980.35 / $1,500.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,916.00 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.99 / $1,826.48 / $7,084.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.06 / $1,703.66 / $2,748.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.96 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.10 / $1,330.17 / $1,818.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.57 / $2,366.13 / $3,121.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.24 / $1,877.24 / $7,084.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.92 / $1,795.71 / $3,167.05