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Massachusetts rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,884.03 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $3,981.07 / $28,840.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $407.38 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,466.84 / $4,466.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $4,265.80 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11