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Massachusetts rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $4,677.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,370.32 / $23,988.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,715.35 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,760.83 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,019.95 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,951.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $6,918.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,370.32 / $23,988.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,890.45 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,311.31 / $4,570.88