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Massachusetts rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.05 / $263.05 / $263.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.05 / $269.33 / $506.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.25 / $745.43 / $3,210.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.19 / $462.84 / $587.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.02 / $777.44 / $1,001.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.64 / $506.08 / $506.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.23 / $382.03 / $422.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $697.88
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
$487.46 / $487.46 / $511.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.27 / $382.49 / $382.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.16 / $3,210.96 / $3,210.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.85 / $335.66 / $587.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.48 / $343.82 / $587.94