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Massachusetts rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $934.00 / $934.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.00 / $985.07 / $1,700.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.77 / $4,445.84 / $10,198.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.08 / $1,548.06 / $2,087.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,334.09 / $2,760.40 / $3,554.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.71 / $1,896.70 / $1,896.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,571.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $2,539.13
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
$1,730.77 / $1,730.77 / $1,817.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.47 / $1,652.47 / $1,652.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,445.84 / $10,198.75 / $10,198.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.02 / $1,142.65 / $2,087.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.67 / $2,608.67 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.40 / $1,142.65 / $2,087.56