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Massachusetts rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.56 / $68.56 / $68.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.46 / $68.56 / $88.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.10 / $305.13 / $469.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.97 / $90.90 / $116.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.35 / $202.64 / $260.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.74 / $106.12 / $106.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $76.68 / $115.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $111.38
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
$127.06 / $127.06 / $133.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.11 / $79.11 / $79.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.74 / $469.03 / $469.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.39 / $78.29 / $121.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $71.01 / $76.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.19 / $78.29 / $127.06