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Massachusetts rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.52 / $431.52 / $431.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $431.52 / $632.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.82 / $2,553.73 / $4,711.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.47 / $733.67 / $964.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.38 / $1,275.33 / $1,642.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.71 / $712.41 / $712.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $725.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $1,173.00
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
$799.63 / $799.63 / $839.61
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.89 / $540.89 / $540.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.92 / $572.99 / $572.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.06 / $4,711.96 / $4,711.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.81 / $492.71 / $964.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.21 / $492.71 / $964.47