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Massachusetts rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.26 / $345.26 / $345.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.26 / $353.50 / $664.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.81 / $1,310.41 / $4,214.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.85 / $607.49 / $771.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.07 / $457.07 / $1,357.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.44 / $701.13 / $701.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.66 / $580.79 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $1,020.75
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
$639.80 / $639.80 / $671.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.03 / $502.03 / $502.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.66 / $4,214.43 / $4,214.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.62 / $431.38 / $771.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.62 / $440.56 / $878.20