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Massachusetts rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.22 / $151.22 / $151.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $166.69 / $221.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.14 / $894.97 / $1,651.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.50 / $257.12 / $338.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.63 / $249.65 / $249.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $254.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $197.94 / $411.00
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
$280.22 / $280.22 / $294.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.81 / $200.81 / $200.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.86 / $1,651.29 / $1,651.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $172.67 / $338.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $185.01 / $338.01