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Massachusetts rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.79 / $102.79 / $102.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.38 / $102.79 / $132.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.13 / $384.91 / $945.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.19 / $141.47 / $229.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.08 / $136.08 / $404.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.65 / $152.19 / $152.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $136.08 / $164.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $218.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $190.49 / $200.01
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.57 / $127.57 / $127.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.27 / $945.96 / $945.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $117.37 / $229.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $117.37 / $190.49