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Massachusetts rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.94 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.65 / $570.94 / $883.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.33 / $1,245.81 / $5,380.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.38 / $951.39 / $1,698.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.54 / $1,116.83 / $1,910.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.74 / $1,350.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.18 / $1,066.53 / $1,491.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.45 / $1,568.27 / $2,178.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $9,039.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.71 / $1,435.93 / $5,380.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.51 / $1,012.76 / $2,042.24