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Massachusetts rates for HCPCS L4397

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf

Facilitymedian $138 · 10th–90th $89–$9550%20%10th90th$138Professionalmedian $141 · 10th–90th $89–$2570%20%10th90th$141$0.2$2.0$20.0$200.0$2.0K$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
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $114.82 / $257.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $213.80 / $954.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $186.21 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $134.90
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
$181.97 / $181.97 / $269.15
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $128.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $213.80 / $954.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $107.15 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $181.97