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Massachusetts rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.91 / $480.91 / $480.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.91 / $480.91 / $796.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.71 / $1,990.47 / $6,464.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.24 / $793.65 / $1,074.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.24 / $1,421.30 / $1,830.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.73 / $976.59 / $976.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.65 / $660.31 / $771.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $660.31 / $1,183.50
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
$891.16 / $891.16 / $935.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.40 / $652.40 / $652.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.86 / $6,464.70 / $6,464.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.95 / $588.35 / $1,074.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.94 / $588.35 / $1,020.74