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Massachusetts rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.63 / $1,082.63 / $1,082.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.63 / $1,082.63 / $1,826.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.38 / $4,410.49 / $13,749.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.78 / $1,718.87 / $2,419.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.95 / $3,199.64 / $4,120.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.75 / $2,198.52 / $2,198.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.22 / $1,599.98 / $1,737.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $2,867.25
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
$2,006.19 / $2,006.19 / $2,106.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.58 / $1,679.58 / $1,679.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.58 / $1,679.58 / $1,679.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,020.89 / $13,749.35 / $13,749.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.90 / $1,324.49 / $2,419.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.15 / $1,324.49 / $2,172.39