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Massachusetts rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.47 / $1,044.00 / $2,652.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $5,063.00 / $15,093.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.31 / $1,505.77 / $7,507.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.40 / $1,632.32 / $3,768.43
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,615.10 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.57 / $1,372.83 / $1,895.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.91 / $2,353.42 / $3,301.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,204.00 / $16,547.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.20 / $1,554.20 / $7,507.56
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
$1,059.43 / $1,413.59 / $2,904.14