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Massachusetts rates for HCPCS L5636

Addition To Lower Extremity Symes Type Medial Opening Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.16 / $178.16 / $178.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.71 / $178.16 / $241.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $630.72 / $1,631.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.28 / $248.22 / $398.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.86 / $235.86 / $700.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.01 / $361.80 / $361.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $235.86 / $285.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $360.38
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
$330.15 / $330.15 / $346.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.31 / $194.31 / $194.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.72 / $1,631.04 / $1,631.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.57 / $217.97 / $398.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.24 / $217.97 / $407.76