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Massachusetts rates for HCPCS L5700

Replacement Socket Below Knee Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,528.10 / $1,528.10 / $1,528.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.10 / $1,538.41 / $2,890.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,129.15 / $9,340.51 / $20,817.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.81 / $2,654.23 / $3,415.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,712.12 / $4,516.22 / $5,816.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,519.13 / $2,939.84 / $2,939.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.95 / $2,400.00 / $2,451.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $4,293.00
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
$2,831.69 / $2,831.69 / $2,973.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.60 / $2,516.69 / $2,516.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,516.95 / $20,817.16 / $20,817.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.51 / $1,869.49 / $3,415.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.96 / $1,869.49 / $3,348.14