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Massachusetts rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,630.78 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $2,089.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,981.07 / $13,489.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $2,187.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,230.27 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,412.54
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $2,089.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,981.07 / $13,489.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $2,238.72