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Massachusetts rates for HCPCS D7283

Plcmt Device Facilitate Eruption Impacted Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.46 / $102.46 / $102.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $102.46 / $179.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.98 / $254.48 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $189.69 / $1,260.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $366.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $225.90 / $266.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.52 / $419.52 / $1,246.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.90 / $1,260.90 / $1,260.90