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Massachusetts rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $758.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $602.56 / $3,715.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $426.58 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $501.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $776.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $602.56 / $3,715.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $436.52 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $512.86