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Massachusetts rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $363.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $354.81 / $1,778.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $245.47 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $199.53 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $186.21
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
$302.00 / $302.00 / $457.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $354.81 / $1,778.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $263.03 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $177.83 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $302.00