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Massachusetts rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.07 / $1,866.07 / $1,866.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.07 / $1,866.07 / $2,914.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,602.05 / $8,227.33 / $19,856.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.32 / $2,780.96 / $4,170.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,663.35 / $5,515.07 / $7,102.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.63 / $3,927.35 / $3,927.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.96 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $4,698.38
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
$3,457.97 / $3,457.97 / $3,630.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,227.33 / $19,856.05 / $19,856.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.32 / $2,282.96 / $4,170.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.32 / $2,282.96 / $4,170.81