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Massachusetts rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.50 / $663.50 / $663.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.50 / $714.95 / $1,095.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.89 / $2,526.98 / $9,402.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.47 / $1,141.26 / $1,482.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.78 / $1,960.91 / $2,525.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.37 / $1,170.68 / $1,170.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.37 / $1,116.13 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $2,060.63
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
$1,229.50 / $1,229.50 / $1,290.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.08 / $1,075.08 / $1,075.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,164.45 / $9,402.01 / $9,402.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.15 / $798.88 / $1,482.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.69 / $811.73 / $1,482.95