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Massachusetts rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.01 / $63.01 / $63.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $63.01 / $108.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.02 / $292.39 / $782.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $109.44 / $140.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.42 / $83.42 / $247.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $121.21 / $121.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.42 / $99.25 / $101.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $166.88
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
$116.76 / $116.76 / $122.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.11 / $100.11 / $100.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.39 / $782.09 / $782.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $77.09 / $140.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $52.05 / $94.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.60 / $77.09 / $140.83