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Massachusetts rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.78 / $1,814.78 / $1,814.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.78 / $1,934.37 / $3,078.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.30 / $8,755.12 / $24,984.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.04 / $3,152.15 / $4,056.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,535.14 / $5,363.45 / $6,907.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,991.73 / $3,685.30 / $3,685.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $3,052.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $4,999.88
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
$3,362.89 / $3,362.89 / $3,531.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.61 / $3,111.61 / $3,111.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,755.12 / $24,984.00 / $24,984.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.03 / $2,220.21 / $4,056.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $2,600.65 / $2,965.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.92 / $2,460.41 / $3,944.84