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Massachusetts rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $870.96 / $2,238.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,309.57 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,318.26 / $2,344.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,659.59 / $7,762.47
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,513.56
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,479.11 / $2,398.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $6,309.57 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $2,398.83