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Massachusetts rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $4,786.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,370.32 / $29,512.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $7,079.46 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,715.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $7,244.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,370.32 / $29,512.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,890.45 / $4,786.30