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Massachusetts rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.08 / $1,635.08 / $1,635.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.08 / $1,695.65 / $2,928.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,348.20 / $9,994.37 / $17,719.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.72 / $2,750.58 / $3,654.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,086.10 / $4,832.39 / $6,223.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.48 / $3,320.41 / $3,320.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,162.65 / $2,677.88 / $2,677.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $4,370.63
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
$3,029.92 / $3,029.92 / $3,181.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,197.44 / $2,197.44 / $2,197.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,653.14 / $17,719.04 / $17,719.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.81 / $2,000.36 / $3,654.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.72 / $2,605.35 / $3,326.45