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Massachusetts rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,048.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.39 / $613.54 / $1,512.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.43 / $4,402.00 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.13 / $1,033.22 / $6,307.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.32 / $1,194.36 / $1,617.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.96 / $1,000.70 / $1,722.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.08 / $1,328.02 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.36 / $850.79 / $1,168.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,503.81 / $1,983.76
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,801.23 / $5,801.23 / $5,801.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.50 / $955.58 / $1,174.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,268.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.91 / $1,121.40 / $6,307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.82 / $911.28 / $1,790.21