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Massachusetts rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.17 / $459.17 / $459.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.17 / $459.17 / $735.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $1,026.27 / $5,540.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.42 / $702.19 / $1,026.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.42 / $1,357.04 / $1,747.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.15 / $932.44 / $932.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.85 / $673.11 / $736.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $673.11 / $1,206.38
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
$850.86 / $850.86 / $893.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.78 / $555.78 / $555.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,112.32 / $5,540.26 / $5,540.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.51 / $561.75 / $1,026.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.42 / $561.75 / $882.78