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Massachusetts rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.51 / $425.51 / $425.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.91 / $425.51 / $607.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $1,596.07 / $4,288.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.42 / $739.09 / $951.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.29 / $563.29 / $1,672.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.47 / $864.09 / $864.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $563.29 / $682.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $911.63
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
$788.49 / $788.49 / $827.91
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $559.86 / $559.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.07 / $4,288.35 / $4,288.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $520.57 / $951.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.78 / $520.57 / $865.67