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Massachusetts rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $912.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $5,370.32 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $630.96 / $1,122.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $645.65 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $870.96
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
$354.81 / $616.60 / $1,148.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $5,370.32 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,025.60 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $575.44 / $1,174.90