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Massachusetts rates for HCPCS L5930

Addition Endoskeletal System High Activity Knee Control Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.29 / $1,820.29 / $1,820.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.29 / $1,827.60 / $3,152.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,727.46 / $11,126.47 / $19,065.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.54 / $3,004.04 / $4,068.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,421.89 / $5,379.75 / $6,928.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.82 / $3,501.96 / $3,501.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,407.63 / $2,920.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,710.75
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
$3,373.12 / $3,373.12 / $3,541.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,895.32 / $2,895.32 / $2,895.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,248.68 / $19,065.24 / $19,065.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.39 / $2,226.94 / $4,068.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.98 / $2,226.94 / $4,045.58