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Massachusetts rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $74.13 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $51.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $36.31 / $169.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $25.70 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $61.66 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $40.74 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $30.90 / $43.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $43.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $77.62
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $33.11 / $144.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $36.31 / $169.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $25.70 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $25.70 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $21.38 / $60.26