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Massachusetts rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.54 / $2,410.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $483.77 / $793.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.32 / $2,854.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.86 / $825.52 / $3,387.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.33 / $561.97 / $1,003.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.99 / $745.13 / $1,370.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.30 / $797.42 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.20 / $654.48 / $903.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.35 / $980.26 / $1,338.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.75 / $1,026.64 / $3,387.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,249.00 / $9,821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.16 / $754.66 / $1,430.25