go back

Massachusetts rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.61 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.61 / $728.87 / $1,722.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.00 / $1,878.00 / $4,256.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.84 / $1,070.78 / $5,559.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.45 / $1,318.46 / $2,343.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $999.69 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.44 / $905.16 / $1,618.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.30 / $1,497.30 / $1,965.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,733.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.20 / $1,269.33 / $5,559.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.06 / $1,037.43 / $1,907.44