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Massachusetts rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.59 / $993.59 / $993.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.59 / $1,095.18 / $1,456.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.87 / $5,789.63 / $10,889.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,689.28 / $2,220.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.06 / $1,652.62 / $1,652.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,671.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,701.13
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
$1,841.20 / $1,841.20 / $1,933.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.25 / $1,358.25 / $1,358.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,729.72 / $10,889.80 / $10,889.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.31 / $1,134.50 / $2,220.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.05 / $1,215.56 / $2,220.76