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Massachusetts rates for HCPCS L1930

Ankle Foot Orthosis Plastic Or Other Material Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.38 / $134.38 / $134.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $134.38 / $195.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.86 / $616.16 / $1,687.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.72 / $210.87 / $300.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.45 / $397.17 / $511.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $297.25 / $394.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $177.91 / $215.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $175.81 / $312.11
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
$249.02 / $249.02 / $261.47
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.16 / $142.16 / $165.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.31 / $165.31 / $165.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.16 / $1,687.87 / $1,687.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $153.44 / $300.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.69 / $158.15 / $266.51