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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
$151.12 / $151.12 / $151.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.38 / $151.12 / $194.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.13 / $586.16 / $1,766.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.37 / $220.73 / $337.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.06 / $200.06 / $594.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.48 / $287.98 / $287.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $200.06 / $242.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $323.25
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
$280.05 / $280.05 / $294.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.24 / $177.24 / $177.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.16 / $1,766.81 / $1,766.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.98 / $172.56 / $337.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.79 / $176.58 / $337.79