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Massachusetts rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $1,803.00 / $7,523.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $515.00 / $1,873.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $528.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.97 / $198.42 / $729.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $6,334.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.91 / $4,320.31 / $10,869.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $947.00 / $2,922.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,078.00 / $2,733.00