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Massachusetts rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.83 / $3,107.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.18 / $1,067.84 / $1,655.14
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
$1,034.68 / $2,108.90 / $11,980.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $1,441.77 / $2,573.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.52 / $1,837.18 / $3,452.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.49 / $1,909.00 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.34 / $1,700.65 / $2,347.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.85 / $2,528.44 / $3,490.31
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
$1,263.36 / $2,531.07 / $11,980.42
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
$1,203.31 / $1,881.20 / $3,644.89