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Massachusetts rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.53 / $87.53 / $326.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $372.31 / $1,214.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.53 / $119.07 / $332.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.16 / $244.38 / $463.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$264.08 / $822.80 / $1,034.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.81 / $673.76 / $2,091.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.31 / $160.84 / $711.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.95 / $483.24 / $1,773.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.85 / $488.34 / $924.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.19 / $215.02 / $285.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.51 / $713.36 / $1,239.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.83 / $166.12 / $340.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.72 / $510.35 / $937.15
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.57 / $333.12 / $608.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.05 / $762.61 / $1,054.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $272.49 / $360.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.01 / $528.54 / $693.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.66 / $194.98 / $352.50
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$822.80 / $1,034.56 / $1,034.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.61 / $726.68 / $2,091.94
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.02 / $164.18 / $711.82
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.69 / $521.96 / $1,773.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.59 / $551.94 / $1,084.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.72 / $149.75 / $303.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.69 / $391.50 / $771.31