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Massachusetts rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.90 / $43.07 / $77.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.77 / $48.73 / $177.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.83 / $185.20 / $340.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $58.72 / $77.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.61 / $127.27 / $163.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.65 / $91.18 / $133.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.01 / $67.14 / $72.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $76.52
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
$79.80 / $79.80 / $83.79
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.77 / $49.06 / $49.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $45.77 / $52.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.75 / $340.47 / $340.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $49.17 / $79.80
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.12 / $54.12 / $76.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $49.17 / $79.98