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Massachusetts rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.66 / $238.66 / $238.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.66 / $251.74 / $434.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.72 / $1,541.42 / $2,615.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.43 / $405.79 / $533.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.68 / $484.66 / $484.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $401.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $648.75
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
$442.26 / $442.26 / $464.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.25 / $326.25 / $326.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.13 / $2,615.79 / $2,615.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.37 / $291.98 / $533.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.24 / $291.98 / $533.42