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Massachusetts rates for HCPCS L5618

Addition to lower extremity, test socket, Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.65 / $196.65 / $196.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.65 / $196.65 / $278.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $818.82 / $1,747.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $283.50 / $439.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.33 / $260.33 / $773.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.18 / $399.34 / $399.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.35 / $271.68 / $315.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $271.68 / $467.63
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
$364.41 / $364.41 / $382.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $228.26 / $228.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.82 / $1,747.51 / $1,747.51
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.40 / $240.58 / $439.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.36 / $240.58 / $364.41