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Massachusetts rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Facilitymedian $20 · 10th–90th $20–$1510%50%90th$20Professionalmedian $20 · 10th–90th $20–$510%50%90th$20$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $38.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $47.86 / $151.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $31.62
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
$51.29 / $51.29 / $79.43
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $47.86 / $151.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29