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Massachusetts rates for HCPCS L5400

Immediate Post Surgical Or Early Fitting Application Of Initial Rigid Dressing Including Fitting Alignment Suspension And One Cast Change Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.16 / $631.16 / $631.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.16 / $702.09 / $1,268.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.04 / $2,007.08 / $9,046.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,110.52 / $1,410.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.22 / $1,865.34 / $2,402.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.49 / $1,281.70 / $1,281.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.81 / $902.63 / $1,012.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.92 / $902.63 / $2,232.75
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
$1,169.58 / $1,169.58 / $1,228.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.88 / $9,046.66 / $9,046.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.07 / $779.86 / $1,410.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.34 / $1,110.52 / $1,410.68