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Massachusetts rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.65 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.80 / $749.54 / $1,251.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,411.51 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.39 / $1,429.12 / $5,562.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.92 / $1,004.77 / $1,793.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.92 / $1,240.80 / $2,178.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.01 / $1,425.76 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.79 / $1,091.68 / $1,514.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.90 / $1,657.93 / $2,203.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,672.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.78 / $1,634.19 / $5,562.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.50 / $1,184.95 / $2,585.06