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Massachusetts rates for HCPCS L1844

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.69 / $840.69 / $840.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.69 / $880.81 / $1,424.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.33 / $3,724.66 / $11,345.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.46 / $1,377.14 / $1,879.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.24 / $2,484.62 / $3,199.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.92 / $1,385.92 / $1,764.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,186.93 / $1,348.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $2,127.00
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
$1,557.87 / $1,557.87 / $1,635.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.52 / $1,475.52 / $1,475.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,724.66 / $11,345.23 / $11,345.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.56 / $959.92 / $1,879.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.61 / $1,028.51 / $1,842.00