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Massachusetts rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.30 / $2,389.30 / $2,389.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,389.30 / $2,389.30 / $4,392.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,892.64 / $14,604.53 / $33,025.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.52 / $4,150.08 / $5,340.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,804.17 / $7,061.43 / $9,093.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,580.76 / $4,596.64 / $4,596.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,163.05 / $3,745.37 / $3,833.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $6,712.13
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
$4,427.55 / $4,427.55 / $4,648.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,935.02 / $3,935.02 / $3,935.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,753.31 / $33,025.99 / $33,025.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.94 / $2,923.07 / $5,340.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.00 / $3,055.45 / $5,235.09