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Massachusetts rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.42 / $196.42 / $196.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $213.83 / $380.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.27 / $758.11 / $2,819.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.50 / $342.28 / $439.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.02 / $260.02 / $772.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.80 / $398.87 / $398.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.02 / $330.41 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $601.88
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
$363.97 / $363.97 / $382.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.50 / $287.50 / $287.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.89 / $2,819.79 / $2,819.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.10 / $240.30 / $439.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.81 / $240.30 / $506.25