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Massachusetts rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.20 / $955.20 / $955.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.20 / $955.20 / $1,230.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.55 / $3,688.76 / $10,896.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.39 / $1,361.26 / $2,134.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.38 / $2,823.01 / $3,635.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.52 / $1,685.36 / $1,685.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,264.51 / $1,532.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $2,173.13
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
$1,770.03 / $1,770.03 / $1,858.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.14 / $1,238.14 / $1,238.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,271.89 / $10,896.03 / $10,896.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.10 / $1,090.65 / $2,134.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.75 / $1,090.65 / $1,770.03