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Massachusetts rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $58.10 / $58.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $58.10 / $77.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.66 / $263.33 / $744.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.23 / $92.97 / $129.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.92 / $76.92 / $228.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $76.92 / $93.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $141.75
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
$107.68 / $107.68 / $113.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.38 / $76.38 / $76.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.39 / $744.23 / $744.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.86 / $66.34 / $129.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $66.34 / $129.87