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Massachusetts rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.13 / $2,209.13 / $2,209.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.13 / $2,209.13 / $3,853.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.89 / $6,960.53 / $29,034.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.80 / $3,627.36 / $4,937.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,366.48 / $6,528.94 / $8,408.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.74 / $4,486.12 / $4,486.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,924.50 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $6,577.50
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
$4,093.67 / $4,093.67 / $4,298.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.63 / $2,912.63 / $2,912.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,517.75 / $29,034.76 / $29,034.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.02 / $2,702.65 / $4,937.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.90 / $2,702.65 / $4,584.43