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Massachusetts rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $2,067.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.56 / $627.00 / $3,445.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.59 / $45.73 / $90.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $300.00 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $329.20 / $571.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.77 / $1,818.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $3,445.00