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Massachusetts rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.89 / $677.89 / $677.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.89 / $677.89 / $873.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.20 / $2,811.85 / $7,050.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.99 / $952.42 / $1,515.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.76 / $2,003.47 / $2,580.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.95 / $1,196.08 / $1,196.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $897.44 / $1,087.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $549.07 / $1,605.75
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
$1,256.19 / $1,256.19 / $1,319.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.76 / $764.76 / $764.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.85 / $7,050.38 / $7,050.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.02 / $774.03 / $1,515.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.27 / $774.03 / $1,460.86