go back

Massachusetts rates for HCPCS L2650

Addition To Lower Extremity Pelvic And Thoracic Control Gluteal Pad Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.22 / $59.22 / $59.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.22 / $62.07 / $104.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.06 / $338.46 / $715.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.02 / $103.22 / $132.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.41 / $78.41 / $232.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.77 / $111.47 / $111.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.41 / $99.64 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $193.13
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
$109.75 / $109.75 / $115.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.90 / $85.90 / $85.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.46 / $715.54 / $715.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $72.45 / $132.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.16 / $72.45 / $138.83