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Massachusetts rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

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
$550.42 / $716.71 / $1,154.36
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
$754.67 / $1,367.11 / $5,819.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.13 / $1,295.81 / $2,097.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.03 / $1,603.06 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.18 / $1,028.64 / $1,410.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.96 / $1,823.73 / $2,405.79
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
$833.51 / $1,416.55 / $5,819.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $13,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.17 / $1,154.65 / $2,165.26