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Massachusetts rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.05 / $373.13 / $602.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.27 / $639.54 / $2,767.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.70 / $588.65 / $1,100.79
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.37 / $540.92 / $747.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.66 / $744.48 / $1,099.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.98 / $817.30 / $2,767.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.61 / $588.99 / $1,162.18