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Massachusetts rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.97 / $64.97 / $64.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $64.97 / $95.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.50 / $279.86 / $767.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.53 / $98.37 / $145.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.02 / $86.02 / $255.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.11 / $131.91 / $131.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.02 / $89.19 / $104.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $159.75
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
$120.39 / $120.39 / $126.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.09 / $86.09 / $86.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.86 / $767.65 / $767.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.08 / $79.48 / $145.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.47 / $79.48 / $126.34