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Massachusetts rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.71 / $228.71 / $228.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.71 / $228.71 / $294.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.32 / $941.10 / $2,095.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $314.77 / $511.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.76 / $302.76 / $899.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.04 / $403.55 / $403.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $302.76 / $366.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $573.75
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
$423.83 / $423.83 / $445.02
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.23 / $250.23 / $250.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.77 / $2,095.14 / $2,095.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $261.14 / $511.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.49 / $321.77 / $423.83