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
$383.11 / $383.11 / $383.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.91 / $383.11 / $513.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.75 / $1,161.10 / $3,432.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.99 / $533.75 / $856.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.18 / $507.18 / $1,506.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.16 / $778.00 / $778.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $507.18 / $614.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $864.00
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
$709.94 / $709.94 / $745.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.80 / $417.80 / $417.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.94 / $3,432.45 / $3,432.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.08 / $468.70 / $856.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.83 / $468.70 / $709.94