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Massachusetts rates for HCPCS L2035

Knee-ankle-foot orthosis (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment

Facilitymedian $105 · 10th–90th $89$1,0000%20%40%10th90th$105Professionalmedian $126 · 10th–90th $89$2040%20%10th90th$126$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $190.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $1,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $151.36
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $275.42
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $1,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $181.97