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Massachusetts rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.10 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.60 / $1,734.10 / $2,592.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,729.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.57 / $2,789.35 / $11,959.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $3,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.65 / $2,741.16 / $4,660.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,659.39 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.43 / $2,339.59 / $3,195.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.21 / $4,070.32 / $5,414.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,466.00 / $17,972.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.70 / $3,099.40 / $11,959.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.45 / $2,560.82 / $5,202.60