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Massachusetts rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.65 / $38.65 / $38.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $40.83 / $70.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.06 / $225.27 / $423.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.45 / $65.79 / $86.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.94 / $77.06 / $77.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $51.13 / $62.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $105.38
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
$71.64 / $71.64 / $75.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $50.25 / $50.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.32 / $423.35 / $423.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.56 / $47.30 / $86.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $47.50 / $86.41