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Massachusetts rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.57 / $255.57 / $255.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.57 / $255.57 / $446.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.86 / $599.78 / $2,846.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.45 / $397.22 / $571.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.32 / $338.32 / $1,004.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.00 / $519.00 / $519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.32 / $340.42 / $410.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $610.13
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
$473.59 / $473.59 / $497.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.03 / $343.03 / $343.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.25 / $2,846.68 / $2,846.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.49 / $312.66 / $571.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.45 / $312.66 / $520.77