go back

Massachusetts rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,136.96 / $3,136.96 / $3,136.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,136.96 / $3,136.96 / $5,211.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.69 / $11,451.20 / $39,095.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,118.19 / $4,884.26 / $7,011.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,620.43 / $9,271.12 / $11,939.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,701.28 / $6,370.33 / $6,370.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,152.82 / $4,865.01 / $5,033.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $8,718.75
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
$5,813.02 / $5,813.02 / $6,103.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,938.99 / $3,938.99 / $3,938.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,266.82 / $39,095.40 / $39,095.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,804.55 / $3,837.78 / $7,011.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,079.62 / $3,616.97 / $6,172.96