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Massachusetts rates for HCPCS L2038

Knee-ankle-foot orthosis (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated

Facilitymedian $2,630 · 10th–90th $933$4,2660%20%10th90th$2,630Professionalmedian $1,175 · 10th–90th $776$2,0890%20%10th90th$1,175$2.0$10.0$50.0$200.0$1.0K$5.0K$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
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $933.25 / $1,445.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,187.76 / $8,511.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,659.59 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,818.38 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,230.27 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,288.25
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
$1,862.09 / $1,862.09 / $2,818.38
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,187.76 / $8,511.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,659.59 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $954.99 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,288.25 / $1,862.09