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Massachusetts rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $173.78 / $309.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $363.08 / $1,621.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $269.15 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $208.93 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $208.93
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $478.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $363.08 / $1,621.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $173.78 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $316.23