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Massachusetts rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.13 / $151.13 / $151.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $151.13 / $254.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.40 / $661.15 / $2,062.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.47 / $250.38 / $337.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.09 / $200.09 / $594.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.16 / $306.93 / $306.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.09 / $203.51 / $242.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $377.63
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
$280.08 / $280.08 / $294.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $206.91 / $206.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.15 / $2,062.69 / $2,062.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.40 / $184.90 / $337.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $184.90 / $336.96