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Massachusetts rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $229.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $245.47 / $1,174.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $190.55 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $125.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $331.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $245.47 / $1,174.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $190.55 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $117.49 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $131.83 / $218.78