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Massachusetts rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $3,374.21 / $5,028.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.54 / $5,612.25 / $28,693.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.13 / $1,211.92 / $2,404.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.94 / $2,989.84 / $11,054.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.24 / $1,719.70 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,685.97 / $5,717.08 / $8,034.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.40 / $4,170.60 / $10,893.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,995.62 / $8,725.34 / $28,693.84
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
$2,507.37 / $6,456.59 / $12,636.98