go back

Massachusetts rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $30.91 / $57.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $12.80 / $22.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $23.39 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.44 / $32.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.66 / $37.68 / $65.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $12.63 / $17.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.40 / $19.96 / $45.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $14.85 / $22.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $19.60 / $23.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $18.63 / $50.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $9.01 / $28.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $11.26 / $25.62