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Massachusetts rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.42 / $68.42 / $68.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.42 / $68.42 / $93.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.12 / $305.80 / $743.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $118.85 / $152.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.58 / $90.58 / $269.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.79 / $138.94 / $138.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.58 / $97.44 / $109.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $174.75
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
$126.79 / $126.79 / $133.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.37 / $102.37 / $102.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.80 / $743.85 / $743.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $83.70 / $152.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.60 / $156.60 / $156.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.62 / $83.70 / $126.79