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Massachusetts rates for HCPCS L5020

Partial Foot Molded Socket Tibial Tubercle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.67 / $1,092.67 / $1,092.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.67 / $1,165.49 / $1,856.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.25 / $4,009.52 / $15,064.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.65 / $1,828.59 / $2,442.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.34 / $3,229.30 / $4,158.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.31 / $2,218.91 / $2,218.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.51 / $1,486.28 / $1,753.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $3,511.13
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
$2,024.79 / $2,024.79 / $2,126.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.23 / $1,655.23 / $1,655.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,148.12 / $15,064.29 / $15,064.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.88 / $1,336.78 / $2,442.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.88 / $1,336.78 / $2,378.58