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Massachusetts rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $3,294.02 / $7,203.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.91 / $905.90 / $1,732.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.38 / $6,078.00 / $21,130.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.59 / $1,287.17 / $4,850.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.94 / $1,327.43 / $2,405.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.29 / $1,382.68 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.55 / $743.92 / $1,199.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.14 / $1,611.75 / $2,341.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $7,292.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.37 / $1,444.55 / $4,850.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $7,292.00 / $16,881.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.30 / $1,061.49 / $2,376.87