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Massachusetts rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.07 / $804.07 / $804.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.07 / $804.07 / $1,373.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.15 / $3,047.24 / $8,561.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.25 / $1,289.81 / $1,797.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.28 / $2,376.39 / $3,060.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.03 / $1,632.85 / $1,632.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,064.45 / $1,290.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,056.13
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
$1,490.00 / $1,490.00 / $1,564.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.69 / $1,286.69 / $1,286.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.39 / $8,561.92 / $8,561.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.86 / $983.70 / $1,797.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.25 / $1,025.99 / $1,635.82