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Massachusetts rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.71 / $1,428.71 / $1,428.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.71 / $1,428.71 / $2,167.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.00 / $6,143.99 / $15,180.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.28 / $2,184.86 / $3,193.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,470.67 / $4,222.47 / $5,437.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,355.28 / $2,901.32 / $2,901.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.37 / $2,084.13 / $2,292.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $3,834.75
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
$2,647.50 / $2,647.50 / $2,779.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.98 / $1,830.98 / $1,830.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,714.92 / $15,180.10 / $15,180.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.31 / $1,747.89 / $3,193.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $1,815.91 / $2,070.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.55 / $1,747.89 / $2,936.08