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Massachusetts rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.82 / $1,823.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.61 / $262.11 / $466.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.96 / $1,403.58 / $4,569.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.26 / $561.96 / $2,543.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.58 / $314.29 / $561.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.06 / $561.61 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.42 / $451.20 / $904.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.26 / $312.17 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.03 / $535.72 / $764.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.18 / $561.59 / $968.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,519.83 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.73 / $845.68 / $2,543.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.89 / $531.27 / $1,124.40