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Massachusetts rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.94 / $49.94 / $49.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $49.94 / $64.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.45 / $217.63 / $605.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.65 / $75.59 / $111.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.32 / $147.60 / $190.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $88.12 / $88.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $66.12 / $80.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $110.63
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
$92.55 / $92.55 / $97.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $60.70 / $60.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.41 / $605.05 / $605.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.72 / $57.02 / $111.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $60.47 / $111.63