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Massachusetts rates for HCPCS L5430

Immediate Post Surgical Or Early Fitting Application Of Initial Rigid Dressing Incl. Fitting Alignment And Supension Ak Or Knee Disarticulation Each Additional Cast Change And Realignment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.10 / $276.10 / $276.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.10 / $295.94 / $507.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.74 / $1,111.35 / $3,226.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.32 / $464.32 / $617.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.50 / $365.50 / $1,085.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.77 / $560.67 / $560.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.18 / $427.13 / $443.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.80 / $427.13 / $765.38
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
$511.64 / $511.64 / $537.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.41 / $3,226.39 / $3,226.39
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.10 / $352.30 / $617.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.44 / $337.77 / $617.11