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Massachusetts rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.54 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.72 / $567.53 / $943.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,227.78 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.44 / $1,080.39 / $4,259.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.40 / $757.38 / $1,352.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.29 / $954.88 / $1,664.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.55 / $1,074.72 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.85 / $839.20 / $1,167.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.87 / $1,238.55 / $1,612.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,217.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.22 / $1,243.18 / $4,259.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.03 / $895.78 / $1,728.87