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Massachusetts rates for HCPCS L8410

Prosthetic Sheath Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.49 / $14.49 / $14.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $14.49 / $19.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $50.47 / $154.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $20.19 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.18 / $19.18 / $56.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $30.48 / $30.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $19.18 / $23.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $16.62 / $28.88
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
$26.83 / $26.83 / $28.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $16.44 / $16.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.47 / $154.33 / $154.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $17.72 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $17.72 / $30.54