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Massachusetts rates for HCPCS L2010

Knee Ankle Foot Orthosis Single Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Without Knee Joint Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.17 / $515.17 / $515.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.17 / $515.57 / $663.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.32 / $1,853.13 / $6,597.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.86 / $824.20 / $1,151.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.49 / $1,522.58 / $1,960.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.28 / $908.99 / $908.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $740.83 / $826.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $1,218.75
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
$954.65 / $954.65 / $1,002.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.81 / $661.81 / $661.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,864.98 / $6,597.23 / $6,597.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.07 / $588.23 / $1,151.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.44 / $618.15 / $1,151.45