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Massachusetts rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.34 / $956.34 / $956.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.34 / $956.34 / $1,468.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.64 / $3,704.81 / $10,029.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.68 / $1,418.23 / $2,137.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.15 / $2,826.38 / $3,639.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.23 / $1,942.05 / $1,942.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.04 / $1,375.24 / $1,534.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $2,464.50
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
$1,772.14 / $1,772.14 / $1,860.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.18 / $1,110.18 / $1,110.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,315.58 / $10,029.48 / $10,029.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.99 / $1,169.98 / $2,137.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.76 / $1,169.98 / $1,945.59