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Massachusetts rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

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
$1,399.27 / $1,717.77 / $2,667.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $13,133.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.33 / $2,877.76 / $17,970.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.12 / $2,777.23 / $4,888.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,653.93 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.46 / $2,334.78 / $3,180.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,095.92 / $3,965.69 / $5,220.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,308.99 / $5,308.99 / $5,308.99
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
$1,873.48 / $3,085.34 / $17,970.61
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
$1,812.84 / $2,608.71 / $5,220.10