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Massachusetts rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.09 / $67.09 / $67.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $68.69 / $119.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.75 / $235.85 / $818.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.19 / $118.04 / $149.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.81 / $88.81 / $263.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.59 / $129.07 / $129.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.81 / $99.32 / $107.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $178.13
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
$124.32 / $124.32 / $130.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.55 / $97.55 / $97.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.69 / $818.84 / $818.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $82.07 / $149.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.68 / $82.07 / $149.94