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Massachusetts rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $10.90 / $10.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $12.06 / $20.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $47.87 / $147.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $17.98 / $24.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.59 / $37.22 / $47.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $21.73 / $21.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $16.29 / $17.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.25
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
$20.20 / $20.20 / $21.21
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.50 / $88.50 / $88.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $14.75 / $16.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $147.82 / $147.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $13.34 / $24.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $31.12 / $31.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $13.34 / $24.37