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Massachusetts rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.08 / $1,242.08 / $1,242.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.08 / $1,242.08 / $2,302.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.34 / $5,186.25 / $17,184.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.29 / $2,105.41 / $2,776.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,017.35 / $3,670.95 / $4,727.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.65 / $2,522.37 / $2,522.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.34 / $1,711.28 / $1,992.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $3,489.38
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
$2,301.69 / $2,301.69 / $2,416.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.96 / $1,739.96 / $1,739.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,110.12 / $17,184.68 / $17,184.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.58 / $1,519.59 / $2,776.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.29 / $2,164.66 / $2,526.96