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Massachusetts rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.92 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.92 / $2,317.57 / $5,169.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.46 / $3,355.38 / $22,284.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,656.54 / $3,896.26 / $6,924.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,867.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.63 / $2,681.98 / $4,795.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.84 / $4,470.93 / $5,869.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $41,732.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.64 / $3,807.74 / $22,284.20
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
$2,328.71 / $3,031.47 / $6,477.87