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Massachusetts rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $944.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.28 / $2,411.63 / $6,432.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.78 / $889.39 / $1,248.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.62 / $1,650.49 / $2,125.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.65 / $1,134.08 / $1,134.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $739.31 / $896.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $1,569.00
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
$1,034.85 / $1,034.85 / $1,086.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.14 / $714.14 / $714.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.14 / $6,432.21 / $6,432.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.28 / $683.22 / $1,248.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.29 / $683.22 / $1,223.61