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Massachusetts rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $69 · 10th–90th $51$3550%20%10th90th$69Professionalmedian $72 · 10th–90th $47$1150%20%10th90th$72$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
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $95.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $120.23 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $69.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $81.28
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
$104.71 / $104.71 / $154.88
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $120.23 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $63.10 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $104.71