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Massachusetts rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.76 / $502.76 / $502.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.45 / $502.76 / $692.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.15 / $1,826.98 / $5,042.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.48 / $873.26 / $1,123.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.57 / $665.57 / $1,976.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.82 / $1,020.97 / $1,020.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $665.57 / $806.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $1,043.25
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
$931.64 / $931.64 / $978.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.29 / $548.29 / $548.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.98 / $5,042.08 / $5,042.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.54 / $615.08 / $1,123.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.09 / $647.90 / $1,022.83