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Massachusetts rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.66 / $874.66 / $874.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.66 / $942.72 / $1,272.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.70 / $3,706.25 / $11,918.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.48 / $1,446.75 / $1,954.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,124.76 / $2,585.02 / $3,329.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.90 / $1,821.05 / $1,821.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.90 / $1,277.46 / $1,403.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $2,407.50
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
$1,620.81 / $1,620.81 / $1,701.85
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.96 / $1,331.96 / $1,331.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.96 / $1,331.96 / $1,331.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,215.38 / $11,918.65 / $11,918.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.16 / $1,012.73 / $1,954.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.98 / $1,012.73 / $1,954.94