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Massachusetts rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,373.36 / $2,153.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.60 / $4,751.20 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.98 / $2,320.46 / $12,480.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.50 / $2,166.90 / $3,857.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.93 / $2,150.17 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.09 / $1,848.60 / $2,522.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.86 / $3,104.67 / $4,086.73
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,073.54 / $14,073.54 / $14,073.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.35 / $2,443.50 / $12,480.69
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
$1,388.01 / $2,209.32 / $4,460.93