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Massachusetts rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.00 / $163.00 / $163.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $179.67 / $276.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.18 / $941.10 / $2,362.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.18 / $284.07 / $364.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.78 / $215.78 / $640.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.28 / $310.62 / $310.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.78 / $274.20 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $544.88
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
$302.05 / $302.05 / $317.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.60 / $235.60 / $235.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.90 / $2,362.69 / $2,362.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $199.42 / $364.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $184.46 / $211.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $199.42 / $364.32