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Massachusetts rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.97 / $4.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $16.89 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $5.46 / $34.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $5.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $11.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $5.07 / $34.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.96 / $9.06