go back

Massachusetts rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.39 / $719.39 / $719.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.39 / $719.39 / $1,204.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.35 / $3,003.71 / $8,339.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.08 / $1,133.30 / $1,607.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.56 / $2,126.11 / $2,738.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.93 / $1,460.88 / $1,460.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $952.35 / $1,154.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $2,020.88
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
$1,333.07 / $1,333.07 / $1,399.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.00 / $910.00 / $910.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,538.80 / $8,339.10 / $8,339.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $880.10 / $1,607.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.53 / $880.10 / $1,576.18