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Massachusetts rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.44 / $469.44 / $469.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.44 / $469.44 / $604.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.23 / $1,600.44 / $5,314.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.90 / $663.95 / $1,049.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.46 / $621.46 / $1,845.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.87 / $982.91 / $982.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $621.46 / $753.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $1,074.38
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
$869.91 / $869.91 / $913.41
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.94 / $399.94 / $399.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.12 / $533.12 / $533.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.02 / $5,314.54 / $5,314.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.34 / $536.02 / $1,049.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.64 / $717.88 / $913.41