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Massachusetts rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd 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
$2,237.05 / $2,784.52 / $4,113.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,298.89 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.92 / $4,710.71 / $27,619.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.96 / $4,587.02 / $7,418.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,542.12 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,921.73 / $3,539.18 / $4,795.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.04 / $6,009.39 / $7,910.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $19,035.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.64 / $4,820.72 / $27,619.68
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
$2,970.64 / $4,328.00 / $8,313.85