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Massachusetts rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.98 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.90 / $601.05 / $1,147.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.03 / $4,751.20 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.11 / $981.26 / $4,505.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.56 / $559.69 / $999.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.70 / $866.88 / $1,735.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.33 / $794.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.38 / $883.78 / $1,224.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.66 / $993.84 / $1,774.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.54 / $1,392.02 / $4,505.20
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
$620.22 / $1,020.44 / $1,901.68