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Massachusetts rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.42 / $82.42 / $82.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.88 / $82.42 / $134.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.30 / $374.06 / $1,010.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.95 / $143.15 / $184.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.12 / $109.12 / $324.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $167.36 / $167.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $109.12 / $132.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $99.66 / $184.88
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
$152.72 / $152.72 / $160.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.33 / $101.33 / $101.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.06 / $1,010.04 / $1,010.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.68 / $100.84 / $184.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $105.14 / $167.66