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Massachusetts rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.64 / $2,663.12 / $4,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.24 / $306.70 / $1,353.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.22 / $3,764.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.43 / $506.51 / $1,863.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.80 / $305.24 / $538.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.66 / $431.24 / $628.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.91 / $497.45 / $981.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.82 / $304.56 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.71 / $307.57 / $475.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.43 / $539.98 / $755.07
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,351.18 / $4,351.18 / $4,351.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.50 / $293.50 / $315.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.20 / $4,249.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.85 / $758.31 / $1,863.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,249.00 / $9,821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.31 / $431.73 / $893.20