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Massachusetts rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.98 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.05 / $745.06 / $1,286.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,791.10 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.00 / $1,248.80 / $4,721.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.26 / $853.57 / $1,523.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.91 / $1,075.39 / $1,902.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.04 / $1,211.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.68 / $919.75 / $1,269.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.00 / $1,420.27 / $1,866.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,791.10 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.27 / $1,442.74 / $4,721.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,364.39 / $9,821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.00 / $1,178.40 / $2,364.96