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Massachusetts rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $575.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $2,511.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $309.03 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $323.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $645.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $2,511.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $371.54 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $346.74 / $426.58