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Massachusetts rates for HCPCS L1710

Legg Perthes Orthotic, (Newington Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.27 / $1,173.27 / $1,173.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.27 / $1,173.27 / $1,511.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.50 / $4,845.71 / $12,754.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.78 / $1,614.80 / $2,622.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,850.13 / $3,467.50 / $4,465.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.34 / $2,208.11 / $2,208.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,553.21 / $1,882.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,544.16 / $2,767.50
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
$2,174.14 / $2,174.14 / $2,282.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.40 / $1,455.40 / $1,455.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,845.71 / $12,754.99 / $12,754.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.10 / $1,339.65 / $2,622.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.29 / $1,339.65 / $2,249.69