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Massachusetts rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.17 / $674.95 / $1,090.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.60 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.96 / $1,172.90 / $6,008.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.74 / $1,096.88 / $1,954.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.15 / $1,500.56 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.54 / $964.87 / $1,320.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.62 / $1,710.06 / $2,255.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $5,063.00 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.84 / $1,224.38 / $6,008.36
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
$703.45 / $1,044.58 / $2,111.58