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Massachusetts rates for HCPCS 64862

Suture Lumbar Plexus

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
$1,201.68 / $1,383.94 / $2,312.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,097.00 / $15,169.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.88 / $2,282.21 / $9,850.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.72 / $2,233.32 / $3,739.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.93 / $2,147.11 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.37 / $1,888.91 / $2,570.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.89 / $3,373.83 / $5,353.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.08 / $2,495.79 / $9,850.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.37 / $2,090.42 / $4,108.64