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Massachusetts rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $58.88 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $57.54 / $269.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $75.86 / $338.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $63.10 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $93.33 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $67.61 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $75.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $97.72
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $87.10 / $245.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $75.86 / $338.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $63.10 / $97.72
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $54.95 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $56.23 / $75.86