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Massachusetts rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.95 / $117.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $131.83 / $602.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $91.20 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $165.96 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $74.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $67.61
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
$112.20 / $112.20 / $169.82
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $131.83 / $602.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $97.72 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $60.26 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $112.20