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Massachusetts rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.78 / $194.78 / $194.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.56 / $194.78 / $294.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.64 / $831.27 / $2,218.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.27 / $286.64 / $435.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.85 / $257.85 / $765.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.11 / $395.54 / $395.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $257.85 / $312.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $435.75
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
$360.94 / $360.94 / $378.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.53 / $222.53 / $222.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.27 / $2,218.35 / $2,218.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.14 / $238.30 / $435.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.74 / $238.30 / $396.26