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Massachusetts rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $346.74 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $85.11 / $316.23
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$21.88 / $21.88 / $21.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $501.19 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $141.25 / $239.88
BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$42.66 / $114.82 / $120.23
BCBS
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$28.84 / $57.54 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $208.93
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$169.82 / $169.82 / $169.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $177.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $83.18 / $123.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $87.10 / $181.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $346.74 / $436.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $147.91 / $154.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $562.34 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $186.21