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Massachusetts rates for HCPCS 54000

Slitting of prepuce, dorsal or lateral (separate procedure); newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.09 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.24 / $155.09 / $269.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.45 / $3,764.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.15 / $301.67 / $1,633.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.08 / $173.00 / $305.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.27 / $283.98 / $571.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.62 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.83 / $199.95 / $305.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.32 / $306.44 / $448.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.29 / $4,249.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.97 / $480.99 / $1,633.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.12 / $283.20 / $580.59