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Massachusetts rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.39 / $2,663.12 / $4,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.33 / $1,246.63 / $1,976.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $4,916.00 / $15,093.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.64 / $2,237.78 / $9,976.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.58 / $2,179.94 / $3,663.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.68 / $1,909.71 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.96 / $1,680.07 / $2,279.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.55 / $2,972.71 / $3,921.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.30 / $2,323.53 / $9,976.00
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
$1,298.69 / $1,881.06 / $4,014.84