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Massachusetts rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $630.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $758.58 / $3,548.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $537.03 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $426.58 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $398.11
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
$645.65 / $645.65 / $977.24
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $436.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $758.58 / $3,548.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $562.34 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $354.81 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $645.65