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Massachusetts rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,631.57 / $16,608.54 / $18,562.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,601.91 / $11,202.16 / $18,562.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.73 / $16,608.54 / $43,196.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,917.55 / $23,685.74 / $50,489.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $5,585.00 / $8,629.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $25,244.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,562.49 / $18,562.49 / $39,078.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $74,249.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $24,424.32