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Massachusetts rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $851.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $831.76 / $3,890.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $602.56 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $478.63 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $478.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,096.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $831.76 / $3,890.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $616.60 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $457.09 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $724.44