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Massachusetts rates for HCPCS E0764

Functional Neuromuscular Stimulation Transcutaneostimulation Of Sequential Muscle Groups Of Ambulation With Computer Control Used For Walking By Spinal Cord Injured Entire System After Completion Of Training Program

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,755.87 / $6,755.87 / $6,755.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,879.80 / $6,755.87 / $12,319.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.72 / $12,031.22 / $71,908.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,926.28 / $9,506.75 / $14,109.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,777.03 / $10,777.03 / $17,925.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,620.70 / $8,620.70 / $8,620.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $71,908.16 / $71,908.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,052.04 / $7,750.30 / $17,412.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,052.04 / $7,809.05 / $14,859.62