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Massachusetts rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.21 / $181.21 / $181.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.38 / $181.21 / $312.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $741.60 / $1,903.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.26 / $289.06 / $405.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.89 / $239.89 / $712.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.74 / $367.98 / $367.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $239.89 / $290.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $423.38
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
$335.79 / $335.79 / $352.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.72 / $252.72 / $252.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.60 / $1,903.31 / $1,903.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $221.70 / $405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $221.70 / $405.00