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Massachusetts rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.17 / $201.17 / $201.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.06 / $201.17 / $264.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.27 / $891.85 / $2,188.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.76 / $276.87 / $449.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.30 / $266.30 / $790.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.48 / $383.35 / $383.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $266.30 / $322.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $444.38
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
$372.78 / $372.78 / $391.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.49 / $219.49 / $219.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.85 / $2,188.04 / $2,188.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $229.70 / $449.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $229.70 / $372.78