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Massachusetts rates for HCPCS L1980

Ankle Foot Orthosis Single Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Single Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.68 / $233.68 / $233.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $233.68 / $301.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.32 / $941.10 / $2,618.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $327.14 / $522.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.35 / $309.35 / $918.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.23 / $412.32 / $412.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $309.35 / $374.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $273.20 / $564.00
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
$433.03 / $433.03 / $454.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.68 / $262.68 / $262.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.53 / $2,618.63 / $2,618.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.88 / $266.83 / $522.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.88 / $266.83 / $464.11