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Massachusetts rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.25 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.80 / $752.89 / $1,262.85
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
$662.50 / $1,672.95 / $6,786.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.12 / $1,222.19 / $2,181.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.84 / $1,425.95 / $2,660.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.08 / $1,734.28 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.00 / $1,343.27 / $1,876.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.51 / $2,006.51 / $2,661.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,672.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.50 / $1,851.63 / $6,786.96
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
$603.92 / $1,252.82 / $2,780.68