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Massachusetts rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.80 / $1,942.80 / $1,942.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.80 / $1,942.80 / $3,501.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.60 / $4,975.75 / $23,010.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.94 / $3,206.22 / $4,342.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.85 / $5,738.15 / $7,361.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,911.61 / $3,945.29 / $3,945.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.60 / $3,268.13 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $5,457.75
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
$3,600.14 / $3,600.14 / $3,780.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.20 / $3,199.20 / $3,199.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,556.83 / $23,010.90 / $23,010.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.92 / $2,376.82 / $4,342.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.39 / $2,376.82 / $4,256.76