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Massachusetts rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.71 / $839.71 / $839.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.25 / $839.71 / $1,124.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,207.62 / $7,687.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.17 / $1,169.86 / $1,876.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.86 / $2,481.71 / $3,195.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.30 / $1,705.23 / $1,705.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.65 / $1,200.11 / $1,347.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,990.13
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
$1,556.04 / $1,556.04 / $1,633.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.76 / $915.76 / $915.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,484.96 / $7,687.40 / $7,687.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.09 / $1,027.30 / $1,876.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.70 / $1,027.30 / $1,556.04