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Massachusetts rates for HCPCS L2627

Addition To Lower Extremity Pelvic Control Plastic Molded To Patient Model Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.11 / $1,125.11 / $1,125.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.11 / $1,125.11 / $1,449.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.50 / $4,596.79 / $10,300.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.40 / $1,548.53 / $2,514.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,733.17 / $3,325.22 / $4,282.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.18 / $1,985.17 / $1,985.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,489.46 / $1,805.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $2,985.38
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
$2,084.92 / $2,084.92 / $2,189.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.34 / $1,229.34 / $1,229.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,227.41 / $10,300.32 / $10,300.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.45 / $1,284.68 / $2,514.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.45 / $1,284.68 / $2,349.67