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Massachusetts rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,090.30 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,079.46 / $45,708.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $2,570.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,365.16 / $4,365.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $7,079.46 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84