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Massachusetts rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.91 / $2,663.12 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.17 / $1,101.48 / $2,763.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,063.00 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.04 / $2,097.51 / $11,430.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.04 / $2,082.73 / $3,212.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $1,051.59 / $6,493.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.94 / $1,755.36 / $3,362.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.18 / $1,563.15 / $2,336.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.25 / $2,631.84 / $3,398.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,993.70 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.90 / $2,163.44 / $11,430.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.95 / $1,674.86 / $4,090.38