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Massachusetts rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $177.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $977.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $181.97 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $147.91 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $147.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $338.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $977.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $194.98 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $120.23 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $223.87