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Massachusetts rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.01 / $1,674.37 / $2,729.26
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
$1,605.20 / $2,874.09 / $14,973.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.73 / $2,715.30 / $4,939.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.43 / $2,729.91 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.21 / $2,353.87 / $3,203.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.46 / $3,961.05 / $5,214.00
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
$1,760.67 / $3,111.43 / $14,973.86
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
$1,665.81 / $2,547.92 / $4,920.89