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Massachusetts rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.90 / $148.90 / $148.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.90 / $161.16 / $300.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.45 / $762.61 / $1,974.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $261.98 / $332.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.09 / $440.04 / $566.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.90 / $302.83 / $302.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $302.83 / $435.38
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
$275.91 / $275.91 / $289.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.61 / $1,974.81 / $1,974.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.86 / $182.16 / $332.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $224.66 / $256.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $182.16 / $332.79