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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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $18.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $20.42 / $95.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $16.22 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $31.62 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $13.49 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.49
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $28.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $20.42 / $95.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $16.22 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $11.22 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $11.75 / $18.62