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Massachusetts rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.20 / $254.20 / $254.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.34 / $254.20 / $340.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.40 / $978.40 / $2,370.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.48 / $365.40 / $568.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.53 / $336.53 / $999.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.08 / $516.22 / $516.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $336.53 / $407.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $558.75
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
$471.06 / $471.06 / $494.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.24 / $277.24 / $277.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.40 / $2,370.48 / $2,370.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.69 / $311.00 / $568.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.51 / $311.00 / $504.16