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Massachusetts rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.02 / $466.02 / $466.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.02 / $466.02 / $747.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.25 / $2,364.94 / $5,149.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.77 / $761.25 / $1,041.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.06 / $1,377.28 / $1,773.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.24 / $946.34 / $946.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.92 / $694.09 / $747.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $1,363.50
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
$863.56 / $863.56 / $906.74
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.42 / $608.42 / $608.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.42 / $608.42 / $702.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.36 / $5,149.18 / $5,149.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.63 / $570.12 / $1,041.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.77 / $809.44 / $957.66