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Massachusetts rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.71 / $152.71 / $152.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.71 / $153.32 / $264.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.70 / $986.29 / $1,599.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.90 / $252.02 / $341.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.22 / $208.22 / $618.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.85 / $310.11 / $310.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.97 / $220.51 / $245.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $395.25
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
$282.98 / $282.98 / $297.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.64 / $222.64 / $222.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.05 / $1,599.48 / $1,599.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.53 / $186.82 / $341.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.79 / $186.82 / $339.38