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Massachusetts rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.02 / $358.02 / $358.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.31 / $358.02 / $516.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.03 / $1,418.95 / $3,892.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.25 / $600.03 / $800.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.96 / $473.96 / $1,407.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.22 / $727.04 / $727.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $473.96 / $574.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $810.38
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
$663.43 / $663.43 / $696.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.44 / $390.44 / $390.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.95 / $3,892.15 / $3,892.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.58 / $438.01 / $800.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.40 / $819.40 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.58 / $438.01 / $728.37