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Massachusetts rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.93 / $2,106.23 / $3,603.67
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$639.38 / $1,986.00 / $5,209.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.92 / $407.68 / $812.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$465.08 / $740.26 / $1,922.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.65 / $2,854.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.88 / $634.99 / $1,838.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.67 / $287.42 / $570.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.08 / $464.50 / $1,243.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.75 / $528.61 / $1,093.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.81 / $301.48 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.68 / $614.52 / $851.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.97 / $545.79 / $1,279.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.76 / $2,482.76 / $3,485.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.30 / $707.00 / $1,097.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.65 / $3,764.00 / $40,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.40 / $914.00 / $3,135.84
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
$465.72 / $731.51 / $1,346.17