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Massachusetts rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.86 / $183.86 / $183.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.86 / $183.86 / $288.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.21 / $606.48 / $1,908.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.68 / $283.18 / $410.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.41 / $243.41 / $722.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.55 / $373.36 / $373.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.41 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $499.50
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
$340.71 / $340.71 / $357.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.38 / $227.38 / $227.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.89 / $1,908.80 / $1,908.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $224.94 / $410.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.93 / $224.94 / $359.07