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Massachusetts rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.26 / $174.26 / $174.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.06 / $174.26 / $224.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.82 / $597.21 / $1,096.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.65 / $213.19 / $270.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.70 / $230.70 / $685.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.04 / $269.70 / $269.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $230.70 / $279.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $209.30 / $256.13
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
$322.92 / $322.92 / $339.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.60 / $151.60 / $151.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.58 / $1,096.95 / $1,096.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.72 / $198.97 / $309.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.85 / $198.97 / $285.45