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Massachusetts rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.60 / $1,001.60 / $1,001.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.48 / $1,001.60 / $1,450.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.49 / $3,865.20 / $10,924.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.51 / $1,400.88 / $2,238.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.12 / $2,960.17 / $3,812.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.19 / $2,033.98 / $2,033.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,325.96 / $1,607.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $2,209.13
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
$1,856.04 / $1,856.04 / $1,948.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.58 / $1,096.58 / $1,096.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,868.39 / $10,924.72 / $10,924.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.09 / $1,225.36 / $2,238.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.09 / $1,225.36 / $2,108.73