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Massachusetts rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.13 / $1,028.13 / $1,028.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.13 / $1,142.08 / $1,562.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.58 / $6,703.06 / $11,530.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.10 / $1,785.79 / $2,297.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.31 / $3,038.57 / $3,913.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.82 / $1,814.05 / $1,814.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,618.14 / $2,837.63
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
$1,905.19 / $1,905.19 / $2,000.45
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.04 / $1,819.04 / $1,819.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.71 / $11,530.40 / $11,530.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.88 / $1,186.91 / $2,297.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.17 / $1,257.82 / $2,297.92