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Massachusetts rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.63 / $676.28 / $676.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.03 / $784.57 / $1,427.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.13 / $1,129.79 / $3,586.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.72 / $940.25 / $2,683.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.80 / $1,563.29 / $3,126.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.30 / $1,878.44 / $2,893.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.01 / $430.41 / $794.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.10 / $468.81 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $362.19 / $637.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.20 / $618.70 / $816.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.89 / $3,586.95 / $3,586.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $2,361.17 / $3,831.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.92 / $1,859.88 / $3,878.50