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Massachusetts rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $35.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.14 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $50.12 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.14 / $31.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.14 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $31.62