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Massachusetts rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.68 / $3,107.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.31 / $1,220.16 / $2,668.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $6,280.00 / $16,547.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.69 / $1,546.09 / $9,966.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.44 / $1,649.23 / $3,806.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.38 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.15 / $1,387.05 / $1,914.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.97 / $2,374.38 / $3,330.39
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,380.77 / $7,380.77 / $7,380.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $7,027.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.72 / $1,564.49 / $9,966.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.19 / $1,389.84 / $2,934.53