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Massachusetts rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $104.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $134.90 / $501.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $75.86 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $63.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $173.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $134.90 / $501.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $100.00 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $54.95 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $70.79 / $114.82