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Massachusetts rates for HCPCS 91113

Gi Tract Imaging Intraluminal Colon I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.95 / $997.95 / $997.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.56 / $997.95 / $1,318.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $4,622.13 / $4,622.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.40 / $1,738.94 / $5,839.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.58 / $1,596.31 / $2,172.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.30 / $1,474.98 / $2,804.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.25 / $1,701.68 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.57 / $593.17 / $1,395.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.11 / $2,073.83 / $2,666.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $4,622.13 / $4,622.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.40 / $1,744.81 / $5,839.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.40 / $1,625.98 / $2,972.33