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Massachusetts rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.21 / $61.21 / $61.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $61.21 / $102.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.16 / $155.37 / $1,722.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $105.96 / $283.32
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
$58.83 / $58.83 / $69.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $371.21 / $371.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.16 / $80.16 / $885.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32