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Massachusetts rates for HCPCS D9952

Occlusal Adjustment - Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.87 / $288.87 / $288.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.81 / $288.87 / $482.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.71 / $733.26 / $1,722.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.00 / $407.19 / $1,343.17
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
$204.94 / $204.94 / $241.10
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
$406.32 / $406.32 / $978.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.17 / $1,343.17 / $1,343.17