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Massachusetts rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $251.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $354.81 / $1,445.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $199.53 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $199.53
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
$302.00 / $302.00 / $457.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $354.81 / $1,445.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $263.03 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $147.91 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $302.00