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Massachusetts rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.36 / $2,231.36 / $2,231.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.36 / $2,231.36 / $3,486.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,887.50 / $9,107.18 / $26,407.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.63 / $3,384.15 / $4,987.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,420.48 / $6,594.64 / $8,492.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,344.06 / $4,531.28 / $4,531.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.32 / $3,006.81 / $3,580.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $5,388.75
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
$4,134.85 / $4,134.85 / $4,341.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.07 / $2,649.07 / $2,649.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,435.66 / $26,407.34 / $26,407.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.90 / $2,729.85 / $4,987.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.35 / $2,729.85 / $4,987.25