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Massachusetts rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $3,061.00 / $5,011.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,268.87 / $4,950.78 / $7,706.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,390.00 / $41,732.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,781.43 / $9,148.91 / $34,397.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,126.17 / $9,083.45 / $12,304.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.93 / $7,994.11 / $16,761.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $5,690.17 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,441.23 / $6,875.62 / $10,100.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,034.23 / $11,815.02 / $14,613.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $43,923.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,218.92 / $9,746.95 / $34,397.28
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
$5,143.88 / $7,147.49 / $15,667.48