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Massachusetts rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.18 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.08 / $2,029.04 / $4,047.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.02 / $3,216.18 / $15,883.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.61 / $3,247.59 / $5,955.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,535.13 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.86 / $1,841.18 / $2,968.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.99 / $3,974.69 / $5,046.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $10,510.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.84 / $3,410.40 / $15,883.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.30 / $2,553.96 / $5,931.56