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Massachusetts rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

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
$941.10 / $4,402.00 / $10,174.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,567.67 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,438.31 / $5,438.31 / $8,103.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $10,899.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00