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Massachusetts rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $33.65 / $33.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $33.86 / $49.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.79 / $165.51 / $365.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $53.36 / $75.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.56 / $44.56 / $132.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $52.91 / $52.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $44.56 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $94.50
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
$62.39 / $62.39 / $65.51
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.82 / $42.82 / $42.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $42.82 / $42.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.51 / $365.94 / $365.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $38.44 / $75.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $39.52 / $73.77