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Massachusetts rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.29 / $215.29 / $215.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.95 / $215.29 / $277.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.36 / $940.67 / $2,340.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.52 / $320.36 / $481.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.01 / $285.01 / $846.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $285.01 / $345.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $428.25
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
$398.95 / $398.95 / $418.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.79 / $234.79 / $234.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.67 / $2,340.52 / $2,340.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.88 / $245.83 / $481.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.88 / $245.83 / $398.95