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Massachusetts rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Facilitymedian $112 · 10th–90th $83$6920%20%10th90th$112Professionalmedian $107 · 10th–90th $68$1860%20%10th90th$107$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $134.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $812.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $112.20 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $120.23
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $251.19
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $812.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $169.82