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Massachusetts rates for HCPCS L5620

Addition To Lower Extremity Test Socket Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.40 / $194.40 / $194.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.75 / $194.40 / $265.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $726.50 / $1,729.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.80 / $337.66 / $434.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.23 / $574.52 / $739.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $394.77 / $394.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $257.35 / $311.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $209.59 / $414.75
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
$360.23 / $360.23 / $378.24
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.28 / $486.28 / $486.28
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.14 / $243.14 / $293.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.50 / $1,729.07 / $1,729.07
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.47 / $237.82 / $434.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $219.98 / $250.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.39 / $250.52 / $394.79