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Massachusetts rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.72 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $206.50 / $343.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.14 / $1,251.81 / $3,804.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $328.81 / $1,470.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.85 / $190.91 / $336.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.89 / $344.39 / $573.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.35 / $345.00 / $649.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.85 / $214.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.73 / $300.39 / $526.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.24 / $330.07 / $555.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.68 / $386.01 / $386.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,878.00 / $7,161.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.09 / $621.69 / $1,470.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.97 / $324.04 / $805.80