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Massachusetts rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.74 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.74 / $718.51 / $1,155.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.36 / $3,887.00 / $14,547.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.84 / $1,229.56 / $5,300.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.45 / $1,156.98 / $2,062.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,202.07 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.65 / $1,025.57 / $1,410.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.05 / $1,731.37 / $2,279.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,671.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.82 / $1,318.99 / $5,300.88
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
$743.08 / $1,116.51 / $2,322.42