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Massachusetts rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.46 / $1,028.46 / $1,028.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.46 / $1,084.70 / $1,873.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.01 / $6,286.44 / $11,271.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.80 / $1,748.56 / $2,298.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.14 / $3,039.56 / $3,914.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.45 / $2,088.52 / $2,088.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,411.04 / $1,650.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $2,796.00
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
$1,905.81 / $1,905.81 / $2,001.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.90 / $1,405.90 / $1,405.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,895.63 / $11,271.87 / $11,271.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.48 / $1,258.22 / $2,298.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.71 / $1,258.22 / $2,298.69