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Massachusetts rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.61 / $75.61 / $107.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $108.77 / $137.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.44 / $475.00 / $1,044.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $223.40 / $1,222.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.45 / $988.83 / $1,977.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.35 / $2,051.38 / $3,069.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.70 / $216.28 / $365.17
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.42 / $110.21 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $102.40 / $198.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $262.32 / $350.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.99 / $558.27 / $558.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $236.14 / $1,222.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.35 / $194.90 / $307.83