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Massachusetts rates for HCPCS 28210

Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,090.30 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,413.10 / $45,708.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,148.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $870.96 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,413.10 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87