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Massachusetts rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $268.00 / $268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $268.00 / $452.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.33 / $945.49 / $3,141.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.73 / $426.21 / $599.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.82 / $354.82 / $1,053.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.83 / $544.25 / $544.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.82 / $393.88 / $430.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $768.38
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
$496.63 / $496.63 / $521.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.23 / $342.23 / $342.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.38 / $3,141.18 / $3,141.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.60 / $327.89 / $599.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.41 / $327.89 / $545.24