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Massachusetts rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.25 / $2,410.00 / $3,469.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $440.55 / $696.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.75 / $2,557.14 / $9,592.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.72 / $914.73 / $3,803.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.62 / $577.76 / $1,030.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.09 / $689.70 / $827.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.62 / $752.30 / $1,491.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $614.88 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.20 / $799.07 / $1,141.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.74 / $1,014.26 / $1,447.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,557.14 / $5,454.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.37 / $1,244.03 / $3,803.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.85 / $792.77 / $1,622.12