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Massachusetts rates for HCPCS 28122

Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.40 / $2,663.12 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.31 / $576.40 / $1,336.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.17 / $2,854.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.73 / $224.73 / $224.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.70 / $1,018.42 / $4,332.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.70 / $674.24 / $1,203.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.29 / $974.52 / $1,545.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.64 / $910.92 / $1,672.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.52 / $956.74 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.19 / $826.36 / $1,139.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.00 / $1,195.65 / $1,699.33
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.47 / $3,599.36 / $4,341.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.40 / $444.52 / $1,372.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.73 / $224.73 / $224.73
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.89 / $1,295.14 / $4,332.34
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
$648.74 / $1,002.20 / $2,000.57