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Massachusetts rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.25 / $308.25 / $308.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $340.66 / $633.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.47 / $1,331.12 / $4,468.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.48 / $542.36 / $688.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.07 / $408.07 / $1,211.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.16 / $625.96 / $625.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.07 / $448.56 / $494.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $817.88
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
$571.20 / $571.20 / $599.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.80 / $483.80 / $483.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.14 / $4,468.09 / $4,468.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $379.87 / $688.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.39 / $377.11 / $688.95