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Massachusetts rates for HCPCS 76642

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.89 / $257.52 / $487.88
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.35 / $25.36 / $93.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.27 / $96.09 / $275.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.36 / $41.75 / $113.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$105.12 / $219.38 / $772.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.69 / $57.03 / $143.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.48 / $184.50 / $539.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.17 / $80.01 / $158.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.73 / $126.77 / $546.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.11 / $47.18 / $203.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.27 / $80.19 / $342.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.15 / $110.42 / $213.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $30.37 / $41.14
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.03 / $61.91 / $94.62
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.35 / $106.40 / $106.40
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.23 / $70.93 / $70.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $210.89 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $138.63 / $268.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.57 / $52.40 / $96.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.24 / $90.36 / $173.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.46 / $121.38 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.57 / $81.93 / $155.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $196.85 / $265.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.72 / $77.79 / $101.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.31 / $127.49 / $168.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.73 / $163.38 / $496.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.78 / $93.10 / $193.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.69 / $539.87 / $539.87
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.50 / $158.97 / $158.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.37 / $122.57 / $546.22
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.27 / $45.05 / $203.94
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.10 / $77.78 / $342.28
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.66 / $105.12 / $188.88
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.19 / $76.56 / $157.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $115.88 / $211.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.29 / $44.79 / $88.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.66 / $77.78 / $166.51