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Massachusetts rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $30 · 10th–90th $9$480%20%10th90th$30Professionalmedian $12 · 10th–90th $8$200%20%10th90th$12$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $18.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $97.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $16.22 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $13.49 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $14.13
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
$18.62 / $18.62 / $27.54
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $97.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $16.22 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.13 / $18.62