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Massachusetts rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.46 / $517.46 / $517.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.46 / $517.46 / $954.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.71 / $1,990.47 / $6,185.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.63 / $853.97 / $1,156.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.04 / $1,529.33 / $1,969.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.51 / $1,050.83 / $1,050.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.04 / $870.47 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $1,568.63
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
$958.89 / $958.89 / $1,006.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.87 / $733.87 / $733.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,746.77 / $6,185.97 / $6,185.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.62 / $633.07 / $1,156.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.52 / $633.07 / $1,083.67