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Massachusetts rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.45 / $559.34 / $870.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,715.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.40 / $920.11 / $5,937.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.49 / $860.87 / $1,464.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.95 / $1,077.72 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.69 / $694.93 / $948.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.45 / $1,222.05 / $1,612.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.13 / $993.67 / $5,937.38
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
$528.71 / $865.80 / $1,810.78