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Massachusetts rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.39 / $66.39 / $66.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $66.39 / $86.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.50 / $242.99 / $618.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.66 / $91.37 / $148.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.88 / $87.88 / $261.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $87.88 / $106.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $138.75
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
$123.01 / $123.01 / $129.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $76.48 / $76.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.99 / $618.45 / $618.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $75.80 / $148.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $75.80 / $146.32