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Massachusetts rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.98 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.98 / $464.22 / $740.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.49 / $2,575.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.85 / $644.64 / $2,137.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.06 / $458.98 / $809.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.35 / $448.35 / $1,316.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.32 / $1,346.32 / $1,346.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.83 / $633.78 / $1,222.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $643.76 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.66 / $634.33 / $879.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.45 / $789.26 / $1,435.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,628.00 / $9,039.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.22 / $754.71 / $3,234.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,715.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.71 / $653.35 / $1,326.53