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Massachusetts rates for HCPCS 99474

Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $11.06 / $15.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $42.03 / $94.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $20.56 / $42.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $21.50 / $43.34
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $18.96 / $32.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $21.95 / $45.91
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $42.03 / $94.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $23.27 / $47.70