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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
$922.75 / $922.75 / $922.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.75 / $973.23 / $1,680.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.54 / $5,640.28 / $10,094.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.33 / $1,568.84 / $2,062.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.62 / $2,754.97 / $3,513.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.18 / $1,775.24 / $1,775.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,220.48 / $1,480.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $2,508.38
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
$1,709.92 / $1,709.92 / $1,795.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.77 / $1,541.77 / $1,541.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.45 / $10,094.70 / $10,094.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.96 / $1,128.89 / $2,062.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.96 / $1,132.59 / $2,062.41