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Massachusetts rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.91 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.60 / $338.91 / $556.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,027.76 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.02 / $508.40 / $2,089.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.54 / $311.39 / $549.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.63 / $552.66 / $1,031.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.07 / $436.78 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.44 / $421.34 / $753.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.85 / $546.44 / $786.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,388.40 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.68 / $857.70 / $2,089.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.66 / $459.97 / $1,127.43