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Massachusetts rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $68.27 / $117.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $13.48 / $42.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $45.07 / $183.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $34.01 / $93.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $84.58 / $153.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $36.26 / $38.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $27.58 / $75.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $24.41 / $58.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $55.54 / $65.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $50.91 / $124.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.11 / $183.21 / $183.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $23.14 / $33.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $23.14 / $29.79