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Massachusetts rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $741.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $954.99 / $3,801.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $537.03 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $467.74
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
$812.83 / $812.83 / $1,230.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $954.99 / $3,801.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $812.83