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Massachusetts rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

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
$1,440.93 / $1,613.00 / $2,520.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,402.90 / $15,093.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.88 / $2,829.54 / $23,959.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.79 / $2,619.17 / $4,649.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.07 / $2,591.10 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.20 / $2,215.76 / $3,040.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.32 / $3,917.86 / $5,168.27
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
$1,736.93 / $2,940.91 / $23,959.18
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
$1,523.02 / $2,418.36 / $4,743.75