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Massachusetts rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $9.39 / $9.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.39 / $16.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $39.95 / $119.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $16.32 / $21.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.45 / $12.45 / $36.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $18.73 / $18.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.45 / $14.44 / $15.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $21.75
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
$17.41 / $17.41 / $18.28
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $12.01 / $12.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.95 / $119.65 / $119.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $11.50 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $11.50 / $21.00