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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
$55.76 / $55.76 / $55.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $55.76 / $71.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $272.66 / $606.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $86.45 / $124.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.47 / $164.82 / $212.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $106.28 / $106.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $73.81 / $89.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $114.38
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
$103.34 / $103.34 / $108.51
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.81 / $60.81 / $60.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.44 / $606.29 / $606.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $63.68 / $124.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $63.68 / $107.55