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Massachusetts rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.95 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.66 / $332.95 / $521.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.94 / $1,027.76 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.13 / $509.82 / $2,140.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.44 / $315.17 / $556.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.24 / $557.16 / $1,006.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.97 / $442.06 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.67 / $433.00 / $774.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $552.85 / $807.49
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.93 / $309.93 / $309.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,028.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.74 / $882.85 / $2,140.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.54 / $489.74 / $1,143.90