go back

Massachusetts rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.94 / $66.94 / $66.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $73.78 / $98.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.33 / $319.41 / $730.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $109.66 / $149.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.33 / $127.56 / $127.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $112.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $181.88
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
$124.05 / $124.05 / $130.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.74 / $92.74 / $92.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.64 / $730.97 / $730.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.30 / $76.43 / $149.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.30 / $81.90 / $153.19