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Massachusetts rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.85 / $260.85 / $260.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $290.16 / $573.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.29 / $1,239.38 / $3,781.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.52 / $458.97 / $583.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.02 / $529.72 / $529.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $438.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $692.25
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
$483.38 / $483.38 / $507.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.23 / $393.23 / $393.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.23 / $420.76 / $420.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.38 / $3,781.14 / $3,781.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.76 / $322.31 / $583.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.85 / $458.97 / $530.69