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Massachusetts rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.62 / $2,747.00 / $7,596.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.03 / $809.37 / $2,374.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $3,315.28 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.93 / $1,339.14 / $5,166.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.05 / $1,097.27 / $1,936.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.54 / $1,684.72 / $2,282.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.54 / $1,290.05 / $2,681.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.61 / $1,539.04 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.49 / $1,219.58 / $1,683.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.82 / $1,813.05 / $2,667.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,822.81 / $3,822.81 / $4,115.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $4,569.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.38 / $1,638.39 / $6,318.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.88 / $1,194.42 / $2,491.13