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Massachusetts rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.12 / $289.12 / $289.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.12 / $321.61 / $423.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.04 / $1,884.99 / $3,157.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.35 / $491.55 / $646.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.51 / $854.47 / $1,100.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.63 / $605.34 / $605.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $486.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $786.00
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
$535.76 / $535.76 / $562.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.40 / $362.40 / $362.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.08 / $483.08 / $483.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.32 / $3,157.08 / $3,157.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.79 / $330.12 / $646.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $353.71 / $646.21