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Massachusetts rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $147.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $151.36 / $776.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $107.15 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $89.13 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
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
$128.82 / $128.82 / $199.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $151.36 / $776.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $112.20 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $91.20 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $128.82