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Massachusetts rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,107.00 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.38 / $987.03 / $1,587.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.01 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.20 / $1,681.98 / $8,440.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.77 / $1,584.04 / $2,913.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.77 / $1,909.00 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.24 / $1,389.68 / $1,896.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.58 / $2,469.26 / $3,257.34
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
$1,051.36 / $1,840.01 / $8,440.44
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
$981.51 / $1,512.86 / $3,349.33