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Massachusetts rates for HCPCS L5960

Addition Endoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.50 / $563.50 / $563.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.50 / $564.46 / $972.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.10 / $2,156.35 / $6,077.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.25 / $915.52 / $1,259.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.85 / $1,665.36 / $2,144.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.96 / $1,144.29 / $1,144.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.98 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $1,618.88
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
$1,044.18 / $1,044.18 / $1,096.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.14 / $735.14 / $735.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,834.41 / $6,077.59 / $6,077.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.78 / $689.39 / $1,259.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.07 / $689.39 / $1,259.44