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Massachusetts rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.67 / $183.67 / $183.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.68 / $157.72 / $199.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.83 / $788.47 / $788.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $281.42 / $1,105.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $235.13 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.57 / $226.91 / $403.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $272.97 / $422.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.83 / $788.47 / $788.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $281.42 / $1,105.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $241.40 / $410.43