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Massachusetts rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $9.22 / $9.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $9.72 / $12.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.47 / $60.12 / $96.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $15.10 / $20.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $31.48 / $40.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $13.65 / $13.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $13.40 / $14.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $24.00
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
$17.07 / $17.07 / $17.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $11.88 / $11.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.98 / $96.08 / $96.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $10.52 / $20.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $9.11 / $9.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $10.81 / $20.18