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Massachusetts rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.32 / $159.32 / $159.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $159.32 / $235.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.25 / $675.48 / $1,771.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.71 / $236.25 / $356.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.90 / $210.90 / $626.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.64 / $323.54 / $323.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $210.90 / $255.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $324.38
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
$295.23 / $295.23 / $309.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.70 / $177.70 / $177.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.48 / $1,771.42 / $1,771.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.54 / $194.90 / $356.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.54 / $194.90 / $295.23