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Massachusetts rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

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
$656.13 / $753.44 / $1,110.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,895.00 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.55 / $1,239.33 / $5,069.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.91 / $1,153.16 / $2,024.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,145.57 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.27 / $974.24 / $1,344.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.70 / $1,622.85 / $2,136.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,751.20 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.85 / $1,287.50 / $5,069.52
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
$718.90 / $1,130.55 / $2,064.77