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Massachusetts rates for HCPCS 21408

Open Tx Fx Orbit Except Blowout W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.77 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.82 / $890.91 / $1,422.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.96 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.45 / $1,538.06 / $7,152.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.93 / $1,442.12 / $2,611.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,458.08 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.30 / $1,251.67 / $1,710.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.26 / $2,220.80 / $2,929.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,037.30 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.07 / $1,653.08 / $7,152.58
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
$944.46 / $1,359.42 / $2,948.81