go back

Massachusetts rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.75 / $750.75 / $750.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $750.75 / $1,019.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.84 / $2,616.04 / $6,807.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.19 / $1,121.24 / $1,677.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.74 / $2,218.79 / $2,857.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.13 / $1,524.56 / $1,524.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $993.86 / $1,204.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,494.00
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
$1,391.19 / $1,391.19 / $1,460.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.65 / $1,091.65 / $1,091.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.04 / $6,807.72 / $6,807.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.91 / $918.47 / $1,677.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.25 / $1,718.25 / $1,718.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.91 / $918.47 / $1,391.19