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Massachusetts rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $61.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $891.25 / $1,737.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $281.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $891.25 / $1,737.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $281.84