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Massachusetts rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.55 / $207.55 / $207.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $207.55 / $303.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.95 / $842.33 / $2,312.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.32 / $296.33 / $463.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.76 / $274.76 / $816.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.04 / $421.47 / $421.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.76 / $333.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $471.38
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
$384.59 / $384.59 / $403.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.96 / $231.96 / $231.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.76 / $2,312.30 / $2,312.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.14 / $253.91 / $463.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.14 / $253.91 / $427.99