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Massachusetts rates for HCPCS 21215

Graft, bone; mandible (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,265.80 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $6,456.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,309.57 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,162.28 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $10,232.93
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,584.89 / $7,762.47
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,025.60 / $8,317.64
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,388.44 / $10,471.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $6,309.57 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,162.28 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $10,232.93