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Massachusetts rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.83 / $1,672.97 / $4,222.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.26 / $6,280.00 / $16,394.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.80 / $3,385.40 / $12,438.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.94 / $3,748.51 / $6,793.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.82 / $2,652.76 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.41 / $2,512.59 / $4,492.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.78 / $4,235.67 / $6,902.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $7,250.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.84 / $3,789.66 / $12,438.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.15 / $2,704.70 / $5,968.07