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Massachusetts rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $95.50
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $58.88 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $25.70 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $42.66 / $158.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$190.55 / $190.55 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $77.62 / $371.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $17.78 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $66.07 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $120.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $21.88 / $28.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $66.07 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $39.81 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.75 / $10.96 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $30.20 / $75.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $46.77 / $79.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $87.10 / $128.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $21.88 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $64.57 / $95.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $72.44 / $72.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $30.20 / $147.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$190.55 / $190.55 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $75.86 / $371.54
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $17.78 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $66.07 / $275.42
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $50.12 / $138.04
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $54.95 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $25.12 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $54.95 / $114.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $13.18 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $41.69 / $89.13