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Massachusetts rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.62 / $1,443.62 / $1,443.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.62 / $1,505.83 / $2,604.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.75 / $5,613.33 / $16,090.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.03 / $2,382.42 / $3,226.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,506.90 / $4,266.55 / $5,494.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.52 / $2,931.61 / $2,931.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.12 / $2,428.44 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,571.77 / $4,608.75
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
$2,675.14 / $2,675.14 / $2,808.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.75 / $2,213.75 / $2,213.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,070.43 / $16,090.64 / $16,090.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.64 / $1,766.14 / $3,226.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.32 / $1,766.14 / $3,070.90