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Massachusetts rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $2,955.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.40 / $1,539.09 / $2,380.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,916.00 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.39 / $2,490.94 / $14,268.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.57 / $2,678.83 / $4,566.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.86 / $2,132.86 / $2,509.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.89 / $3,881.32 / $5,120.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,701.33 / $4,701.33 / $4,701.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.33 / $502.52 / $1,610.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $23,514.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.66 / $2,476.31 / $14,268.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $13,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.39 / $2,184.92 / $5,075.87