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Massachusetts rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.60 / $553.60 / $553.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.60 / $583.87 / $1,008.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.61 / $3,575.44 / $6,045.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.54 / $941.21 / $1,237.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.45 / $1,636.12 / $2,107.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.64 / $1,065.03 / $1,065.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $931.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $724.63 / $1,504.88
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
$1,025.84 / $1,025.84 / $1,077.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.00 / $925.00 / $925.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,635.26 / $6,045.06 / $6,045.06
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.94 / $677.28 / $1,237.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.29 / $677.28 / $1,267.04