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Massachusetts rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $12.62 / $12.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $13.33 / $17.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $82.32 / $131.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $20.68 / $28.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.42 / $43.09 / $55.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $18.69 / $18.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $16.71 / $20.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $33.00
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
$23.39 / $23.39 / $24.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.02 / $15.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $131.74 / $131.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $14.41 / $28.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $14.41 / $27.67