go back

Massachusetts rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.40 / $1,125.40 / $1,125.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.97 / $1,125.40 / $1,450.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.63 / $3,921.55 / $11,515.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.64 / $1,721.03 / $2,515.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,733.87 / $3,326.07 / $4,283.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.61 / $2,144.52 / $2,144.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,489.85 / $1,805.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $2,239.50
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
$2,085.46 / $2,085.46 / $2,189.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.33 / $1,227.33 / $1,227.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,921.55 / $11,515.43 / $11,515.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.67 / $1,285.01 / $2,515.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.67 / $1,285.01 / $2,327.35