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Massachusetts rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $9.12 / $89.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $5.01 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
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
$10.47 / $10.47 / $10.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $9.12 / $89.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $5.01 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.47 / $10.47