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Massachusetts rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.87 / $226.87 / $226.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.87 / $237.91 / $343.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $941.10 / $3,128.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.78 / $379.77 / $507.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.35 / $300.35 / $892.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.00 / $400.30 / $400.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.35 / $381.63 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $694.50
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
$420.40 / $420.40 / $441.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $337.38 / $337.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.15 / $3,128.68 / $3,128.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.69 / $261.77 / $507.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.87 / $265.83 / $494.00