go back

Massachusetts rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $1,949.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $52.48 / $104.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $72.44 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,148.15 / $1,659.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.57 / $91.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $52.48 / $104.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $72.44 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $104.71