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Massachusetts rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,048.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,522.72 / $3,592.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,933.87 / $13,133.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.26 / $2,673.22 / $13,677.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.93 / $2,469.64 / $4,494.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.33 / $2,487.19 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.82 / $2,143.84 / $2,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.28 / $3,606.87 / $4,747.78
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
$1,621.51 / $2,833.13 / $13,677.74
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
$1,487.86 / $2,323.37 / $4,482.26