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Massachusetts rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $34.67 / $64.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $354.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $44.67 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $44.67
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
$63.10 / $63.10 / $95.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $354.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $54.95 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $45.71 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $63.10