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Massachusetts rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $23.40 / $23.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $25.80 / $38.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.04 / $151.13 / $339.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $40.78 / $52.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.85 / $69.17 / $89.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $44.59 / $44.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $39.15 / $70.13
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
$43.37 / $43.37 / $45.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $34.03 / $34.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.25 / $34.03 / $34.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.23 / $339.20 / $339.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $28.63 / $52.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $28.63 / $52.30