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Massachusetts rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.80 / $1,326.80 / $1,326.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.19 / $1,326.80 / $1,914.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,830.60 / $5,359.97 / $14,424.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.76 / $1,922.13 / $2,965.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,223.10 / $3,921.28 / $5,049.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.43 / $2,694.37 / $2,694.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,756.46 / $2,128.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $2,780.63
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
$2,458.65 / $2,458.65 / $2,581.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.97 / $1,446.97 / $1,446.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,359.97 / $14,424.18 / $14,424.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.22 / $1,623.21 / $2,965.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.03 / $1,822.00 / $2,458.65