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Massachusetts rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,048.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.95 / $5,097.00 / $15,093.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.57 / $1,909.00 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,812.26 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00