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Massachusetts rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.85 / $914.86 / $1,439.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.04 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.80 / $1,740.39 / $8,385.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.47 / $1,491.06 / $2,647.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,480.77 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.01 / $1,270.70 / $1,737.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.05 / $2,254.09 / $2,973.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.52 / $1,676.05 / $8,385.95
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
$971.18 / $1,421.28 / $3,739.08