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Massachusetts rates for HCPCS L8430

Prosthetic sock, multiple ply, above knee (AK), each

Facilitymedian $19 · 10th–90th $12–$830%20%10th90th$19Professionalmedian $20 · 10th–90th $12–$290%20%10th90th$20$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $26.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $144.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.39 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $21.88
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $38.90
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $144.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.39 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.95 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $20.42 / $25.70