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Massachusetts rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.32 / $771.32 / $771.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.13 / $771.32 / $1,182.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.03 / $1,183.99 / $3,147.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $563.25 / $1,183.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.64 / $263.30 / $339.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.32 / $1,724.00 / $1,724.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $2,047.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $2,074.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $101.07 / $873.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $101.07 / $922.80