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Massachusetts rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,905.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $10,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,288.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,818.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $10,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1,445.44 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $1,862.09