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Massachusetts rates for HCPCS D0170

Re-Evaluation - Limited Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $27.52 / $27.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $19.94 / $28.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.05 / $88.42 / $217.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $54.55 / $193.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $22.28 / $22.28
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $33.15 / $36.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $63.98 / $84.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.37 / $217.62 / $217.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.44 / $193.44 / $193.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $39.00 / $45.00