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Massachusetts rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.29 / $66.29 / $66.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $73.73 / $150.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.91 / $373.50 / $858.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.37 / $107.20 / $148.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.03 / $195.91 / $252.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $135.01 / $176.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.88 / $86.88 / $106.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $157.13
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
$122.84 / $122.84 / $128.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.05 / $79.05 / $79.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.91 / $858.09 / $858.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $75.69 / $148.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $79.39 / $136.84