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Massachusetts rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Facilitymedian $87 · 10th–90th $66$4470%20%10th90th$87Professionalmedian $83 · 10th–90th $52$1480%20%10th90th$83$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $107.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $154.88 / $602.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $114.82 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $87.10 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $91.20
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $199.53
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $154.88 / $602.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $114.82 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $72.44 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $131.83