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Massachusetts rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.50 / $282.50 / $282.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.51 / $282.50 / $408.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.43 / $1,062.26 / $2,790.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.64 / $424.71 / $631.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.97 / $373.97 / $1,110.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.71 / $573.69 / $573.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $373.97 / $453.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $606.75
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
$523.51 / $523.51 / $549.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.46 / $332.46 / $332.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.26 / $2,790.84 / $2,790.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.57 / $345.61 / $631.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.17 / $345.61 / $523.51