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Massachusetts rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.10 / $1,031.10 / $1,031.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.10 / $1,043.57 / $1,960.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.70 / $3,528.38 / $13,402.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.70 / $1,793.37 / $2,304.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,504.80 / $3,047.38 / $3,924.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.29 / $2,093.90 / $2,093.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.02 / $1,734.51 / $1,823.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,823.10 / $3,267.38
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
$1,910.71 / $1,910.71 / $2,006.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.08 / $1,482.08 / $1,482.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,721.05 / $13,402.65 / $13,402.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.83 / $1,315.70 / $2,304.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.48 / $1,261.46 / $2,304.59