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Massachusetts rates for HCPCS L5312

Knee Disarticulation (Or Through Knee) Molded Socket Single Axis Knee Pylon Each Foot Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.79 / $1,729.79 / $1,729.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.79 / $1,924.20 / $3,668.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,542.14 / $10,573.29 / $22,464.46
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.10 / $3,205.42 / $4,059.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,322.77 / $5,112.29 / $6,583.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,678.33 / $3,512.73 / $3,512.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $5,907.75
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
$3,205.42 / $3,205.42 / $3,365.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,924.97 / $2,924.97 / $2,924.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,344.70 / $22,464.46 / $22,464.46
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.92 / $2,434.85 / $3,866.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.14 / $2,434.85 / $3,866.20