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Massachusetts rates for HCPCS L4370

Pneumatic Full Leg Splint Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.90 / $123.90 / $123.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.90 / $123.90 / $159.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.88 / $591.38 / $1,107.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.89 / $189.48 / $276.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.03 / $164.03 / $487.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.12 / $183.46 / $183.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $164.03 / $198.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $291.81
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
$229.60 / $229.60 / $241.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $135.13 / $135.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.66 / $1,107.57 / $1,107.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.32 / $141.47 / $276.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.34 / $141.47 / $229.60