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Massachusetts Outpatient Medicaid Pricer

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Look up Massachusetts Medicaid (MassHealth) outpatient rates by HCPCS or EAPG code, provider, and date of service. Rates are sourced from the yearly MassHealth acute hospital rate notices and the EOHHS fee schedules for professional, ambulatory surgery, laboratory, and imaging services. See About This Data for more information on our sources and methodology.

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Pick a provider, then a billing code, and hit Estimate Rate to see the payment estimate and full calculation breakdown.