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Massachusetts rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.14 / $480.14 / $480.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.14 / $518.57 / $677.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.38 / $2,004.76 / $6,560.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.24 / $796.35 / $1,073.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.39 / $1,419.04 / $1,827.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.57 / $903.65 / $903.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.62 / $732.96 / $770.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,313.63
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
$889.74 / $889.74 / $934.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.51 / $717.51 / $717.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,300.11 / $6,560.56 / $6,560.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.39 / $557.45 / $1,073.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.17 / $1,381.17 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.66 / $587.41 / $1,073.17