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Massachusetts rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.68 / $198.68 / $198.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.10 / $149.10 / $265.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $138.99 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.15 / $107.79 / $178.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $190.49 / $277.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $38.74 / $38.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00