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Massachusetts rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.30 / $834.24 / $1,361.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $15,093.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.71 / $1,401.77 / $13,243.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.29 / $1,453.84 / $2,465.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.28 / $1,825.62 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.40 / $1,179.10 / $1,606.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.76 / $2,077.08 / $2,740.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,254.80 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.25 / $1,618.01 / $13,243.52
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
$890.69 / $1,323.47 / $2,465.56