go back

Massachusetts rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $111.22 / $111.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $111.22 / $143.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.50 / $516.70 / $986.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.25 / $153.07 / $248.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.22 / $147.22 / $437.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.68 / $196.22 / $196.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $147.22 / $178.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $295.13
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
$206.09 / $206.09 / $216.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.49 / $123.49 / $123.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.70 / $986.48 / $986.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.66 / $126.98 / $248.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.66 / $126.98 / $213.25