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Massachusetts rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.32 / $90.00 / $142.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $45.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $117.89 / $117.89
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
$51.76 / $51.76 / $54.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.67 / $39.67 / $39.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $51.76 / $51.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $51.76 / $54.35