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Massachusetts rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $13.26 / $13.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $552.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $1,391.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $552.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $1,391.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $21.50