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Massachusetts rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.21 / $222.21 / $222.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.90 / $222.21 / $297.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $774.30 / $2,003.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.21 / $385.96 / $496.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.18 / $294.18 / $873.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.32 / $451.25 / $451.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $294.18 / $356.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $442.13
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
$411.77 / $411.77 / $432.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.34 / $242.34 / $296.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.30 / $2,003.74 / $2,003.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.30 / $271.86 / $496.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.63 / $271.86 / $496.65