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Massachusetts rates for HCPCS D7953

Bone Replcmt Graft Ridge Preservation Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.40 / $116.40 / $116.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.53 / $116.40 / $203.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.59 / $289.10 / $1,048.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.89 / $215.50 / $3,148.10
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
$779.17 / $779.17 / $916.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $256.02 / $301.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.25 / $1,048.25 / $3,113.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,148.10 / $3,148.10 / $3,148.10