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Massachusetts rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $103.22 / $242.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.24 / $82.83 / $734.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $101.19 / $124.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.78 / $147.19 / $313.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $23.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $218.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.36 / $115.36 / $734.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $151.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $141.66