go back

Massachusetts rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $549.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $407.38 / $2,511.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $251.19 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $251.19
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
$346.74 / $346.74 / $537.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $407.38 / $2,511.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $251.19 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $346.74