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Massachusetts rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,553.19 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.73 / $1,660.88 / $2,613.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $12,079.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.67 / $3,003.12 / $16,240.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.82 / $2,830.09 / $4,710.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,561.01 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.97 / $2,253.04 / $3,061.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.87 / $3,998.24 / $5,274.32
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
$1,792.39 / $3,073.16 / $16,240.27
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
$1,742.25 / $2,552.69 / $4,745.35