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Massachusetts rates for HCPCS L1620

Hip orthosis (HO), abduction control of hip joints, flexible, (Pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $214 · 10th–90th $78–$3090%20%10th90th$214Professionalmedian $107 · 10th–90th $74–$1740%20%10th90th$107$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $85.11 / $169.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $181.97 / $812.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $138.04 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $117.49 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $125.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $234.42
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $181.97 / $812.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $138.04 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $93.33 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $114.82 / $158.49