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Massachusetts rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.79 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.61 / $390.52 / $737.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.22 / $2,078.00 / $7,958.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.77 / $667.06 / $4,954.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.87 / $434.03 / $765.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.09 / $666.40 / $1,002.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.80 / $667.98 / $1,285.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.13 / $608.78 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.42 / $467.00 / $750.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.53 / $782.22 / $1,104.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.14 / $433.14 / $433.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,430.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.32 / $838.94 / $4,954.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.90 / $608.42 / $1,467.86