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Massachusetts rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.84 / $706.84 / $706.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.84 / $713.22 / $910.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.30 / $3,032.39 / $7,331.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.92 / $1,067.41 / $1,579.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.07 / $2,089.01 / $2,690.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.32 / $1,247.15 / $1,247.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $935.73 / $1,134.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,783.50
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
$1,309.82 / $1,309.82 / $1,375.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.92 / $973.92 / $973.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.09 / $7,331.10 / $7,331.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.86 / $807.08 / $1,579.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.41 / $807.08 / $1,579.83