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Massachusetts rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.48 / $2,663.12 / $4,903.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.78 / $848.48 / $1,346.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.50 / $4,751.20 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.78 / $1,490.79 / $5,874.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.61 / $1,021.07 / $1,822.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.00 / $1,581.55 / $1,972.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.92 / $1,326.62 / $2,308.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.56 / $1,448.88 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.28 / $1,125.66 / $1,547.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.33 / $1,743.38 / $2,317.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.05 / $1,758.64 / $5,874.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.38 / $1,471.04 / $2,878.94