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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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $107.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $154.88 / $616.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $109.65 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $87.10 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $87.10
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
$131.83 / $131.83 / $204.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $154.88 / $616.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $114.82 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $72.44 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $131.83