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Massachusetts rates for HCPCS 21390

Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,111.85 / $8,272.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,751.20 / $11,028.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.72 / $1,727.54 / $7,315.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $5,063.00 / $13,773.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00