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Massachusetts rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.96 / $783.96 / $783.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.07 / $783.96 / $1,050.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.32 / $3,195.32 / $8,522.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.88 / $1,361.68 / $1,822.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.41 / $2,316.92 / $2,983.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.89 / $1,592.00 / $1,592.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $1,037.83 / $1,257.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $1,560.00
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
$1,452.72 / $1,452.72 / $1,525.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.96 / $854.96 / $854.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,195.32 / $8,522.69 / $8,522.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.35 / $959.10 / $1,752.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.12 / $1,010.28 / $1,752.19