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Massachusetts rates for HCPCS L2116

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.62 / $431.62 / $431.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.62 / $431.62 / $556.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.63 / $1,768.91 / $5,079.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.88 / $634.58 / $964.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.40 / $571.40 / $1,697.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.85 / $721.47 / $721.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.14 / $571.40 / $692.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $501.14 / $1,076.63
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
$799.83 / $799.83 / $839.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.37 / $547.37 / $547.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.12 / $5,079.41 / $5,079.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.43 / $492.83 / $964.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.11 / $492.83 / $958.46