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Massachusetts rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.39 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.39 / $2,194.98 / $3,528.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,593.24 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.39 / $3,701.59 / $24,626.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.26 / $3,528.82 / $6,489.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,345.57 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,555.10 / $3,095.07 / $4,233.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,768.08 / $5,487.44 / $7,238.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $16,592.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.21 / $4,117.71 / $24,626.21
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
$2,137.88 / $3,342.78 / $7,025.39