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Massachusetts rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.22 / $2,082.67 / $3,188.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,199.32 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.87 / $3,450.03 / $14,610.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.15 / $3,213.81 / $5,988.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,131.06 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.06 / $2,875.77 / $3,936.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,635.78 / $5,225.17 / $6,892.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $15,996.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.01 / $3,829.97 / $14,610.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $13,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.73 / $3,131.06 / $6,095.05