go back

Massachusetts rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $741.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $891.25 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $630.96 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $512.86 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $457.09
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
$758.58 / $758.58 / $1,174.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $891.25 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $645.65 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $489.78 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $758.58