go back

Massachusetts rates for HCPCS L8631

Metacarpophalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.78 / $1,148.78 / $1,148.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.78 / $1,214.00 / $2,035.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.43 / $5,390.93 / $12,757.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.99 / $1,824.48 / $2,567.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.81 / $3,395.14 / $4,372.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.94 / $1,482.94 / $1,932.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.50 / $1,482.94 / $3,078.75
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
$2,128.76 / $2,128.76 / $2,235.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,390.93 / $12,757.93 / $12,757.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.04 / $1,405.43 / $2,567.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.91 / $1,405.43 / $2,567.60