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Massachusetts rates for HCPCS L5999

Lower Extremi Prosthes, Not Otherwise Specified

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $818.35 / $1,161.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,161.14