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Massachusetts rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,704.26 / $2,704.26 / $2,704.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.26 / $2,727.90 / $5,125.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,312.87 / $12,823.06 / $33,201.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.85 / $4,528.51 / $6,044.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,757.99 / $7,992.28 / $10,292.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,458.07 / $5,491.61 / $5,491.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,549.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $7,323.00
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
$5,011.18 / $5,011.18 / $5,261.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,199.45 / $4,199.45 / $4,199.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,823.06 / $33,201.65 / $33,201.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.67 / $3,308.40 / $6,044.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.42 / $3,308.40 / $5,582.09