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Massachusetts rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,921.84 / $2,921.84 / $2,921.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,921.84 / $2,921.84 / $5,234.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.69 / $11,451.20 / $39,440.91
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.84 / $4,821.95 / $6,530.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,097.83 / $8,635.33 / $11,120.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,378.89 / $5,933.46 / $5,933.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,868.04 / $4,366.38 / $4,688.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $7,825.13
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
$5,414.38 / $5,414.38 / $5,685.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,956.53 / $3,956.53 / $3,956.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,442.82 / $39,440.91 / $39,440.91
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.21 / $3,574.60 / $6,530.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.29 / $4,787.54 / $5,944.28