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Massachusetts rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.90 / $2,083.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.44 / $123.90 / $157.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.46 / $1,267.00 / $4,569.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.47 / $224.23 / $872.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $1,463.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.40 / $235.91 / $458.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.64 / $164.64 / $193.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $298.35 / $385.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,329.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.88 / $228.17 / $872.64
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
$126.67 / $187.62 / $416.28