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Massachusetts rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $2,089.30 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $446.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,071.52 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $213.80 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $263.03 / $501.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $380.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $363.08
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $478.63
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $416.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,071.52 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $467.74