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Massachusetts rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.76 / $87.76 / $117.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.29 / $110.34 / $184.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.47 / $512.58 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.15 / $210.77 / $916.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.78 / $143.63 / $256.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.34 / $190.29 / $352.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.32 / $258.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.21 / $178.81 / $246.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.50 / $255.74 / $361.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.65 / $248.50 / $916.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.28 / $1,078.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $196.34 / $375.32