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Massachusetts rates for HCPCS L5644

Addition To Lower Extremity Above Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.44 / $406.44 / $406.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.15 / $406.44 / $595.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.92 / $1,439.09 / $3,780.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.72 / $575.37 / $908.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.07 / $538.07 / $1,598.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.13 / $825.36 / $825.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $538.07 / $652.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $822.00
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
$753.16 / $753.16 / $790.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.39 / $450.39 / $450.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.09 / $3,780.88 / $3,780.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.67 / $497.25 / $908.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.67 / $497.25 / $790.82