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Massachusetts rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.58 / $1,073.75 / $1,570.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.44 / $5,097.00 / $15,421.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.38 / $1,778.96 / $11,477.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.05 / $1,716.54 / $2,891.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,589.24 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.10 / $1,377.34 / $1,864.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.70 / $2,381.59 / $3,134.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,904.00 / $15,421.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.92 / $1,855.11 / $11,477.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.78 / $1,612.85 / $3,435.71