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Massachusetts rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $831.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $794.33 / $4,466.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $575.44 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $588.84
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
$676.08 / $676.08 / $1,023.29
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $794.33 / $4,466.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $575.44 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $676.08