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Massachusetts rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.91 / $2,067.00 / $3,625.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$196.89 / $196.89 / $215.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.52 / $313.64 / $712.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.64 / $818.35 / $2,713.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,079.36 / $1,079.36 / $1,079.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.73 / $590.50 / $2,313.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.91 / $463.77 / $827.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $591.82 / $801.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.44 / $510.67 / $881.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.32 / $460.66 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.04 / $453.10 / $625.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.28 / $734.04 / $953.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.87 / $235.87 / $235.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.06 / $360.06 / $392.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,541.95 / $3,445.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,079.36 / $1,079.36 / $1,079.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.91 / $644.95 / $2,313.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.09 / $478.53 / $955.67