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Massachusetts rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.58 / $31.58 / $31.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $51.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $141.04 / $353.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $48.52 / $70.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.80 / $41.80 / $124.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $64.13 / $64.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.80 / $44.94 / $50.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $80.63
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
$58.53 / $58.53 / $61.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $38.95 / $38.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.04 / $353.88 / $353.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $38.63 / $70.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $38.63 / $70.59