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Massachusetts rates for HCPCS L2020

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $2,290.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,698.24 / $8,317.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,202.26 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $891.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $2,238.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,698.24 / $8,317.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,258.93 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $851.14 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,479.11