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Massachusetts rates for HCPCS L1846

Knee orthosis (KO), double 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
$638.04 / $638.04 / $638.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.98 / $709.75 / $824.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.50 / $2,358.52 / $7,970.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.39 / $995.80 / $1,426.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.95 / $1,885.70 / $2,417.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.98 / $1,125.77 / $1,125.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.66 / $840.60 / $920.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $840.60 / $1,450.08
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
$1,182.33 / $1,182.33 / $1,241.46
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.52 / $903.52 / $903.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.52 / $903.52 / $903.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,861.75 / $7,970.79 / $7,970.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.23 / $728.53 / $1,426.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.80 / $728.53 / $1,426.08