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Massachusetts rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.42 / $1,286.42 / $1,286.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.42 / $1,351.32 / $2,437.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.85 / $6,518.84 / $17,378.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.83 / $2,180.48 / $2,875.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.77 / $3,801.92 / $4,896.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.69 / $2,612.36 / $2,612.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $2,163.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $3,749.63
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
$2,383.82 / $2,383.82 / $2,503.01
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.85 / $2,074.25 / $2,074.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,565.67 / $17,378.68 / $17,378.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.08 / $1,573.80 / $2,875.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,674.38 / $3,674.38 / $3,674.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.71 / $1,614.72 / $2,755.79