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Massachusetts rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.93 / $25.93 / $95.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.12 / $100.67 / $231.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.55 / $89.32 / $182.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.66 / $150.22 / $767.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.05 / $167.81 / $307.66
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.61 / $92.05 / $176.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.92 / $219.33 / $291.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.50 / $58.41 / $111.14
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.32 / $182.21 / $182.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.69 / $151.46 / $767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.46 / $134.40 / $245.25