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Massachusetts rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.84 / $71.84 / $71.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $71.84 / $92.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.21 / $388.13 / $781.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.24 / $123.06 / $160.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.11 / $95.11 / $282.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.66 / $126.76 / $126.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $95.11 / $115.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $142.88
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
$133.13 / $133.13 / $139.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $78.34 / $78.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.51 / $781.04 / $781.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.69 / $82.03 / $160.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.69 / $82.03 / $133.13