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Massachusetts rates for HCPCS L5812

Addition Endoskeletal Knee-Shin System Single Axis Friction Swing And Stance Phase Control (Safety Knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.78 / $385.78 / $385.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.17 / $385.78 / $568.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.21 / $1,526.03 / $4,297.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $550.67 / $862.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.69 / $510.69 / $1,516.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.95 / $783.40 / $783.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $510.68 / $618.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $826.50
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
$714.87 / $714.87 / $750.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.07 / $431.07 / $431.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,609.32 / $4,297.14 / $4,297.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.50 / $471.95 / $862.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.50 / $471.95 / $714.87