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Massachusetts rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.61 / $319.61 / $319.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.61 / $319.61 / $587.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.39 / $1,094.76 / $3,725.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.61 / $537.01 / $714.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.10 / $423.10 / $1,256.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.98 / $649.03 / $649.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $537.63 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $946.50
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
$592.26 / $592.26 / $621.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.81 / $443.81 / $443.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.45 / $3,725.56 / $3,725.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.41 / $391.00 / $714.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.33 / $409.30 / $698.54