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Massachusetts rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.43 / $1,182.43 / $1,182.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.43 / $1,182.43 / $1,755.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.70 / $3,528.38 / $11,244.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.70 / $1,694.60 / $2,642.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,872.39 / $3,494.60 / $4,500.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.08 / $2,401.19 / $2,401.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.36 / $1,606.19 / $1,897.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $2,878.50
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
$2,191.12 / $2,191.12 / $2,300.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.52 / $1,326.52 / $1,326.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.37 / $11,244.11 / $11,244.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.63 / $1,446.59 / $2,642.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.63 / $1,521.69 / $2,457.88