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Massachusetts rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.41 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $73.68 / $125.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.24 / $627.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.15 / $115.25 / $640.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.14 / $59.98 / $116.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.76 / $117.76 / $256.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.36 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $90.99 / $139.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.38 / $108.87 / $203.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.13 / $2,028.00 / $11,500.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.43 / $188.52 / $970.06
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
$80.86 / $117.20 / $256.27