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Massachusetts rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.30 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $366.54 / $604.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.32 / $2,329.00 / $4,689.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.43 / $609.89 / $2,704.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.82 / $378.84 / $676.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.02 / $557.82 / $1,036.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.68 / $537.58 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.04 / $578.35 / $799.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.70 / $676.43 / $1,154.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,338.00 / $8,498.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.81 / $786.62 / $2,956.40
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
$356.22 / $588.05 / $1,151.40