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Massachusetts rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.78 / $142.26 / $480.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $106.85 / $253.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.99 / $314.24 / $669.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.56 / $209.63 / $740.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.15 / $110.42 / $213.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $32.97 / $44.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.62 / $242.60 / $400.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.43 / $223.88 / $444.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.10 / $230.38 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $145.90 / $243.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.07 / $309.77 / $418.95
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.96 / $213.22 / $358.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $63.30 / $213.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $669.70 / $669.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.17 / $203.68 / $740.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.56 / $195.19 / $421.83