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Massachusetts rates for HCPCS 86653

Antibody Encephalitis St. Louis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $34.24 / $56.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $12.57 / $22.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $28.76 / $119.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $13.19 / $32.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $36.86 / $64.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $12.40 / $16.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $19.57 / $45.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $14.58 / $22.15
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
$19.14 / $19.14 / $22.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $18.28 / $49.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.38 / $34.38 / $34.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.76 / $119.85 / $119.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.91 / $27.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.91 / $27.84