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Massachusetts rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.92 / $248.92 / $248.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.37 / $248.92 / $339.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.06 / $882.93 / $2,754.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.55 / $353.00 / $556.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.54 / $329.54 / $978.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.37 / $505.51 / $505.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $329.54 / $399.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $504.38
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
$461.28 / $461.28 / $484.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.33 / $276.33 / $276.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.93 / $2,754.57 / $2,754.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.98 / $304.54 / $556.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.98 / $304.54 / $461.28