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Massachusetts rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.46 / $998.46 / $998.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.46 / $1,110.67 / $1,783.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.00 / $3,642.87 / $11,959.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.82 / $1,756.79 / $2,231.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.48 / $2,950.88 / $3,800.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.00 / $2,027.59 / $2,027.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.62 / $1,679.59 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $3,430.50
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
$1,850.22 / $1,850.22 / $1,942.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.62 / $1,565.62 / $1,565.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,006.69 / $11,959.60 / $11,959.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.53 / $1,233.71 / $2,231.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.65 / $1,221.52 / $2,231.63