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Massachusetts rates for HCPCS 21151

Rcnstj Midface Lefort Ii W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.23 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.76 / $1,967.73 / $3,026.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $13,296.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.55 / $3,301.96 / $18,236.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.13 / $3,279.94 / $5,184.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,816.59 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.59 / $2,477.88 / $3,364.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.62 / $4,199.74 / $5,528.19
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
$2,054.16 / $3,378.03 / $18,236.43
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
$1,973.53 / $2,917.84 / $6,087.46