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Massachusetts rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.24 / $1,593.28 / $2,549.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.71 / $2,613.82 / $10,873.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.06 / $2,388.59 / $4,190.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.88 / $2,062.75 / $2,812.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.15 / $3,125.36 / $4,207.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.39 / $3,195.80 / $10,873.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.68 / $2,459.78 / $4,393.55