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Massachusetts rates for HCPCS L5632

Addition To Lower Extremity Symes Type Ptb Brim Design Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.72 / $132.72 / $132.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $132.72 / $234.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.95 / $599.32 / $1,389.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $210.87 / $296.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.68 / $175.68 / $521.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.51 / $269.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $175.68 / $212.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $376.88
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
$245.92 / $245.92 / $258.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.99 / $186.99 / $186.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.83 / $1,389.02 / $1,389.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.65 / $162.36 / $296.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.55 / $162.36 / $290.27