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Massachusetts rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.73 / $181.73 / $181.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.55 / $210.81 / $487.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.62 / $1,058.91 / $1,728.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $315.64 / $406.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.78 / $596.78 / $1,772.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.34 / $300.49 / $478.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $291.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $214.16 / $320.76
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
$336.75 / $336.75 / $353.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.96 / $210.56 / $210.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.56 / $210.56 / $260.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.24 / $1,728.76 / $1,728.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $207.50 / $406.17
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.72 / $271.72 / $324.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $154.24 / $165.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $207.50 / $348.45