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Massachusetts rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.32 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.17 / $2,006.59 / $3,197.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,097.00 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.63 / $3,488.95 / $14,663.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.39 / $3,205.13 / $5,864.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,046.34 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.98 / $2,809.05 / $3,829.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,520.27 / $4,768.60 / $6,276.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $15,121.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.23 / $3,708.32 / $14,663.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $13,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.23 / $3,152.84 / $8,248.86