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Massachusetts rates for HCPCS L5280

Hemipelvectomy 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
$3,142.30 / $3,142.30 / $3,142.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,142.30 / $3,142.30 / $5,171.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.98 / $10,184.20 / $38,704.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,102.28 / $4,835.42 / $7,023.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,633.38 / $9,286.89 / $11,959.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,709.28 / $6,381.16 / $6,381.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,156.22 / $4,728.96 / $5,041.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $8,475.00
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
$5,822.91 / $5,822.91 / $6,114.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,908.81 / $3,908.81 / $3,908.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,483.03 / $38,704.47 / $38,704.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,809.31 / $3,844.31 / $7,023.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.31 / $8,148.31 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,048.83 / $4,009.62 / $6,392.80