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Massachusetts rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.87 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.90 / $1,739.48 / $2,459.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $15,715.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.07 / $3,328.49 / $12,305.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.65 / $2,852.52 / $6,013.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,687.85 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.09 / $2,466.69 / $3,623.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.32 / $4,220.12 / $5,220.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $15,715.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.14 / $3,436.64 / $12,305.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.55 / $2,546.81 / $5,636.38