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Massachusetts rates for HCPCS L5650

Additions To Lower Extremity Total Contact Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.01 / $256.01 / $256.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.01 / $284.77 / $457.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.60 / $1,017.74 / $3,710.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.11 / $450.45 / $572.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.91 / $338.91 / $1,006.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.05 / $519.89 / $519.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.61 / $379.03 / $410.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $679.13
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
$474.41 / $474.41 / $498.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.25 / $372.25 / $372.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.46 / $3,710.94 / $3,710.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.18 / $313.20 / $572.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.18 / $313.20 / $572.21