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Massachusetts rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.77 / $114.42 / $258.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $23.77 / $49.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.86 / $72.68 / $275.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $40.11 / $87.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.45 / $100.54 / $166.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $39.26 / $41.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.15 / $49.73 / $95.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $27.60 / $63.50
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
$60.21 / $60.21 / $70.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $57.89 / $134.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $43.22 / $110.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.68 / $275.00 / $275.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $25.06 / $52.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $25.06 / $52.68