go back

Massachusetts rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.92 / $1,068.11 / $1,823.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.50 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.89 / $2,120.05 / $10,050.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.74 / $1,722.26 / $3,158.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,758.98 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.16 / $1,508.30 / $2,063.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.81 / $2,673.88 / $3,527.27
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
$1,128.57 / $2,008.86 / $10,050.27
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
$1,107.43 / $1,619.49 / $3,243.33