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Massachusetts rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.56 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.56 / $1,485.16 / $3,486.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,999.74 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.57 / $2,218.00 / $12,784.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.45 / $2,669.48 / $4,744.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,001.53 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.33 / $1,836.85 / $3,284.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.86 / $3,048.21 / $4,002.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $19,413.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.37 / $2,571.28 / $12,784.00
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
$1,517.91 / $2,057.17 / $4,002.05