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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
$897.96 / $2,663.12 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.16 / $5,097.00 / $13,773.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.32 / $1,446.04 / $2,581.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.54 / $1,909.00 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,841.60 / $2,841.60 / $4,341.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00