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Massachusetts rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.63 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.63 / $1,199.35 / $1,827.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.33 / $4,364.32 / $14,547.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.47 / $2,190.71 / $8,412.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.98 / $1,985.03 / $3,360.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,875.78 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.14 / $1,614.87 / $2,200.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.85 / $2,748.94 / $3,618.47
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
$1,402.39 / $2,282.34 / $8,412.64
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
$1,327.70 / $1,932.70 / $3,940.97