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Massachusetts rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.71 / $1,190.71 / $1,190.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.45 / $1,190.71 / $1,595.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,438.25 / $4,292.35 / $10,228.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.53 / $2,068.19 / $2,767.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.50 / $3,519.06 / $4,531.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.48 / $2,418.00 / $2,418.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,576.30 / $1,910.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $2,451.38
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
$2,206.46 / $2,206.46 / $2,316.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.54 / $1,298.54 / $1,298.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,292.35 / $10,228.89 / $10,228.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.68 / $1,456.72 / $2,661.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $849.73 / $1,536.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.68 / $1,456.72 / $2,534.28