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Massachusetts rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

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
$50.89 / $61.07 / $108.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.25 / $202.92 / $370.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $72.92 / $91.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.81 / $137.02 / $189.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $113.03 / $156.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $87.38
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
Facility
Modifier
Low / Median / High Price
$54.42 / $54.42 / $60.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.42 / $54.42 / $72.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.51 / $370.47 / $370.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $59.25 / $92.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $60.79 / $102.24