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Massachusetts rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.77 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $115.77 / $196.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.47 / $736.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.48 / $218.48 / $1,154.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.73 / $106.26 / $208.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.69 / $227.22 / $466.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.86 / $185.25 / $298.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.84 / $196.61 / $435.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.65 / $2,028.00 / $11,500.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $411.85 / $1,154.40
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
$150.78 / $248.51 / $492.26