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Massachusetts rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,230.27 / $1,737.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,288.25 / $3,548.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $812.83 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $776.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $489.78 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $380.19 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $1,047.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,288.25 / $3,548.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $812.83 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $2,089.30 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,071.52 / $2,951.21