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Massachusetts rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $2,747.00 / $5,897.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,591.30 / $5,897.07 / $15,751.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,466.00 / $18,310.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,642.14 / $11,639.20 / $40,052.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,609.13 / $10,509.67 / $14,192.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,047.89 / $11,423.66 / $20,583.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $6,539.04 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,305.50 / $7,863.36 / $13,713.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,015.63 / $13,907.78 / $17,473.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $42,466.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,474.98 / $11,649.42 / $40,052.16
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
$6,419.38 / $8,632.46 / $18,723.62