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Massachusetts rates for HCPCS L2755

Addition To Lower Extremity Orthosis High Strength Lightweight Material All

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.11 / $67.11 / $67.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.11 / $73.98 / $98.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.44 / $455.34 / $734.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $114.15 / $150.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.59 / $127.88 / $127.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.76 / $88.85 / $107.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $182.63
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
$124.36 / $124.36 / $130.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.63 / $91.78 / $91.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.58 / $734.34 / $734.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.47 / $76.63 / $150.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $76.64 / $150.01