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Massachusetts rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.79 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,668.28 / $4,406.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $13,133.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.56 / $2,951.76 / $14,308.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.78 / $2,630.52 / $4,692.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.19 / $2,598.94 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.84 / $2,239.55 / $3,049.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.07 / $3,767.30 / $4,958.96
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
$1,692.24 / $2,959.25 / $14,308.48
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
$1,552.13 / $2,425.67 / $4,683.05