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Massachusetts rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.00 / $1,965.01 / $3,160.47
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
$1,860.21 / $3,313.25 / $29,283.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.22 / $3,162.79 / $5,819.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,024.66 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,291.96 / $2,776.32 / $3,802.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.54 / $4,693.43 / $6,178.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $22,296.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.89 / $3,685.71 / $29,283.99
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
$2,030.80 / $3,022.01 / $6,486.86