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Massachusetts rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.05 / $3,107.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $751.82 / $1,210.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.41 / $2,411.51 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.94 / $1,438.07 / $6,724.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.65 / $980.01 / $1,749.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.47 / $1,236.95 / $2,243.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.82 / $1,390.60 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.21 / $1,124.36 / $1,551.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.01 / $1,696.93 / $2,284.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,672.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.58 / $1,708.74 / $6,724.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.32 / $1,234.16 / $2,565.88