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Massachusetts rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.09 / $336.09 / $336.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.09 / $336.09 / $433.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.14 / $1,347.73 / $4,141.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.47 / $517.40 / $751.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.93 / $444.93 / $1,321.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.69 / $520.16 / $520.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $444.93 / $539.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $408.60 / $882.75
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
$622.79 / $622.79 / $653.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.44 / $415.44 / $415.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.56 / $4,141.43 / $4,141.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.86 / $383.75 / $751.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.85 / $383.75 / $751.18