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Massachusetts rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.99 / $267.22 / $591.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.40 / $2,628.00 / $7,619.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.52 / $483.68 / $2,806.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.73 / $519.08 / $957.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.35 / $537.82 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.30 / $287.27 / $463.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.12 / $622.49 / $916.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,715.00 / $9,496.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.36 / $537.82 / $2,806.88
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
$298.77 / $398.33 / $832.12