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Massachusetts rates for HCPCS 21423

Open Tx Palatal/Maxillary Fx Comp Multiple Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $805.27 / $1,250.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.46 / $4,751.20 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.82 / $1,403.47 / $6,777.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.26 / $1,342.64 / $2,218.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,287.81 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.12 / $1,103.66 / $1,511.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.32 / $1,931.21 / $2,514.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.56 / $1,444.43 / $6,777.31
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
$835.18 / $1,242.73 / $2,678.02