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Massachusetts rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.29 / $363.29 / $363.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.77 / $363.29 / $489.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.10 / $1,265.89 / $3,225.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.79 / $631.01 / $811.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.92 / $480.92 / $1,428.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.88 / $737.73 / $737.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $480.92 / $582.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.65 / $723.00
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
$673.18 / $673.18 / $706.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.37 / $339.37 / $339.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.89 / $3,225.13 / $3,225.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.10 / $444.44 / $811.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.56 / $444.44 / $673.18