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Massachusetts rates for HCPCS 57109

Vagnc Prtl Rmvl Vag Wall W/Bi Tot Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.11 / $1,738.39 / $4,018.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $4,266.18 / $11,217.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.08 / $3,351.21 / $12,514.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.31 / $3,495.30 / $6,445.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,707.77 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.20 / $1,966.56 / $3,170.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.21 / $4,272.42 / $5,602.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,997.00 / $12,855.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.56 / $3,597.91 / $12,514.24
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
$1,804.03 / $2,565.88 / $6,124.94