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Massachusetts rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.54 / $775.54 / $942.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.89 / $942.19 / $1,496.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,376.00 / $4,689.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.98 / $1,552.26 / $6,495.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.12 / $1,065.42 / $1,902.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.50 / $1,437.18 / $2,496.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,133.86 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.51 / $1,232.54 / $1,679.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.86 / $1,879.28 / $2,477.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,372.00 / $8,498.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.06 / $1,909.08 / $6,495.28
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
$988.95 / $1,409.18 / $2,778.75