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Massachusetts rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

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
$522.05 / $606.27 / $1,025.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.91 / $2,826.85 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.29 / $1,094.91 / $4,697.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.69 / $999.65 / $1,832.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.58 / $1,424.42 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.13 / $909.87 / $1,253.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.19 / $1,606.12 / $2,118.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.46 / $1,158.48 / $4,697.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.16 / $986.87 / $1,934.34