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Massachusetts rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.52 / $295.52 / $295.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.52 / $325.75 / $433.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.55 / $1,486.00 / $3,239.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.10 / $484.53 / $660.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $872.87 / $1,119.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.57 / $437.57 / $465.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $437.50 / $803.25
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
$547.65 / $547.65 / $575.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.79 / $3,239.07 / $3,239.07
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.27 / $344.10 / $660.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.22 / $367.37 / $676.39