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Massachusetts rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.35 / $330.35 / $330.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.35 / $364.12 / $532.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.07 / $1,145.57 / $4,788.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.58 / $575.71 / $738.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.33 / $437.33 / $1,298.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.33 / $555.71 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $1,122.00
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
$612.16 / $612.16 / $642.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.44 / $525.44 / $525.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.47 / $4,788.43 / $4,788.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.63 / $387.04 / $738.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.69 / $383.81 / $738.35