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Massachusetts rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.87 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.65 / $96.40 / $222.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $524.55 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $240.16 / $961.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.85 / $43.36 / $86.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $165.93 / $331.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $104.63 / $391.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.78 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.03 / $204.23 / $352.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $139.26 / $376.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.01 / $451.35 / $513.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.82 / $95.25 / $254.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.18 / $953.00 / $2,796.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.43 / $359.63 / $961.20
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
$156.63 / $260.67 / $533.46