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Massachusetts rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

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
$1,217.90 / $1,502.49 / $2,388.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,916.00 / $13,133.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.48 / $2,634.65 / $15,972.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.91 / $2,476.71 / $4,379.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,377.98 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.06 / $2,092.03 / $2,851.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.20 / $3,551.85 / $4,675.35
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
$1,653.86 / $2,765.66 / $15,972.78
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
$1,644.41 / $2,327.33 / $4,464.07