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Massachusetts rates for HCPCS 21199

Osteotomy Mandible Sgmtl W/Genioglossus Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.13 / $2,809.00 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.78 / $1,005.38 / $1,630.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.04 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.56 / $1,791.62 / $13,778.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.81 / $1,891.06 / $3,559.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,626.81 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.33 / $1,406.76 / $1,908.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.79 / $2,485.51 / $3,278.79
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
$1,114.99 / $1,865.02 / $13,778.46
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
$1,072.45 / $1,539.32 / $3,404.26