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Massachusetts rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.07 / $637.07 / $637.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.07 / $679.28 / $864.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.52 / $4,153.43 / $7,319.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.70 / $1,106.53 / $1,423.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $1,591.13
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
$1,180.52 / $1,180.52 / $1,239.55
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.68 / $855.68 / $855.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,786.07 / $7,319.72 / $7,319.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.12 / $738.57 / $1,423.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.30 / $779.38 / $1,372.45