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Massachusetts rates for HCPCS L1940

Ankle-Foot Orthotic (Afo), Plastic Or Other Material, Custom Fab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.58 / $324.58 / $324.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.57 / $324.58 / $418.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.79 / $1,191.08 / $3,528.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.16 / $446.73 / $725.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.47 / $959.27 / $1,235.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.08 / $679.58 / $679.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $429.68 / $520.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $372.88 / $680.25
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
$601.47 / $601.47 / $631.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.68 / $425.68 / $425.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.68 / $425.68 / $433.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.08 / $3,528.63 / $3,528.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.07 / $370.61 / $725.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.07 / $370.61 / $707.23