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Massachusetts rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.24 / $253.24 / $253.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.26 / $253.24 / $339.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.57 / $882.44 / $2,318.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.40 / $362.57 / $566.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.19 / $748.45 / $963.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.47 / $487.20 / $487.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $335.26 / $406.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $281.20 / $504.00
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
$469.27 / $469.27 / $492.73
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.17 / $276.17 / $276.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.17 / $276.17 / $338.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.44 / $2,318.40 / $2,318.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.86 / $309.82 / $566.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.67 / $309.82 / $486.87