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Massachusetts rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.80 / $1,663.80 / $1,663.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.77 / $1,663.80 / $2,372.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $5,984.51 / $18,087.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.49 / $2,317.98 / $3,718.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,041.76 / $4,917.26 / $6,332.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.48 / $3,378.72 / $3,378.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,202.60 / $2,669.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $3,373.13
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
$3,083.14 / $3,083.14 / $3,237.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.48 / $1,814.48 / $1,814.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,984.51 / $18,087.81 / $18,087.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.81 / $2,035.50 / $3,718.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.79 / $2,035.50 / $3,384.89