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Massachusetts rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

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
$1,872.76 / $2,079.88 / $3,095.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.46 / $3,634.04 / $19,633.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.42 / $3,454.75 / $5,578.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,884.23 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.76 / $2,668.27 / $3,622.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.42 / $4,522.93 / $5,953.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $14,320.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.44 / $3,688.14 / $19,633.29
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
$2,142.54 / $3,145.40 / $7,876.42