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Massachusetts rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.35 / $89.35 / $1,183.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $89.35 / $112.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.22 / $530.40 / $530.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $165.42 / $931.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.74 / $133.38 / $247.12
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $88.76 / $157.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $201.22 / $267.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.22 / $530.40 / $530.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $168.52 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.62 / $122.44 / $225.19