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Massachusetts rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,245.00 / $10,174.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$135.53 / $135.53 / $1,196.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $848.30 / $8,090.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,402.00 / $11,272.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$135.53 / $135.53 / $1,196.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00