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Massachusetts rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $95.50 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $63.10 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $194.98 / $1,047.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $151.36 / $562.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $3,388.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $75.86 / $436.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $245.47 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $489.78 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $114.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $346.74 / $575.44
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $257.04 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $83.18 / $158.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $239.88 / $446.68
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $151.36 / $562.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $363.08 / $3,388.44
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $75.86 / $436.52
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $245.47 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $489.78 / $794.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $85.11 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $363.08 / $660.69