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Massachusetts rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.57 / $1,126.57 / $1,126.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.24 / $1,126.57 / $1,625.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $3,925.61 / $11,298.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.19 / $1,900.00 / $2,517.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,736.70 / $3,329.51 / $4,287.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.20 / $2,287.75 / $2,287.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,491.40 / $1,807.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $2,241.75
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
$2,087.62 / $2,087.62 / $2,192.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,228.59 / $1,504.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,925.61 / $11,298.40 / $11,298.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.75 / $1,378.26 / $2,517.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.66 / $1,378.26 / $2,087.62