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Massachusetts rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.89 / $50.89 / $50.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $56.61 / $128.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $251.80 / $695.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $85.29 / $113.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.62 / $150.40 / $193.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.63 / $80.37 / $80.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.36 / $85.59 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $84.33 / $127.44
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
$94.30 / $94.30 / $99.02
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $80.98 / $80.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.80 / $695.21 / $695.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $59.70 / $113.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $62.25 / $113.73