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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
$57.32 / $57.32 / $57.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $57.32 / $73.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $256.61 / $503.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $85.43 / $128.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.88 / $75.88 / $225.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.90 / $88.71 / $88.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $75.88 / $91.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $61.48 / $119.25
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
$106.22 / $106.22 / $111.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $74.22 / $74.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.62 / $503.80 / $503.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $65.45 / $128.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $65.45 / $106.22