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Massachusetts rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.82 / $1,870.82 / $1,870.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.82 / $1,973.14 / $3,407.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,830.93 / $11,435.33 / $20,504.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.12 / $3,180.73 / $4,181.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,675.21 / $5,529.10 / $7,120.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,084.11 / $3,599.17 / $3,599.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $3,147.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $5,085.75
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
$3,466.77 / $3,466.77 / $3,640.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.40 / $2,557.40 / $2,557.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,905.37 / $20,504.11 / $20,504.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.57 / $2,288.77 / $4,181.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.78 / $2,288.77 / $4,181.42