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Massachusetts rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.00 / $1,424.44 / $1,584.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.80 / $384.80 / $800.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.76 / $1,446.36 / $1,899.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $520.00 / $2,062.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.60 / $1,182.04 / $2,066.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.40 / $478.40 / $478.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.38 / $405.60 / $1,183.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.10 / $548.75 / $2,320.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.53 / $750.53 / $882.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $520.00 / $1,610.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.80 / $2,470.00 / $2,470.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $312.00 / $2,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $312.00 / $928.75