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Massachusetts rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $22.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $31.62 / $177.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $21.38 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $29.51 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
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
$25.70 / $25.70 / $38.90
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $31.62 / $177.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $21.88 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $16.60 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.60 / $25.70