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Massachusetts rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Facilitymedian $2,692 · 10th–90th $955–$3,8900%20%10th90th$2,692Professionalmedian $1,349 · 10th–90th $912–$2,1380%20%10th90th$1,349$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $2,041.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,238.72 / $10,232.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,479.11
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
$1,905.46 / $1,905.46 / $2,884.03
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,238.72 / $10,232.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,122.02 / $2,570.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,445.44 / $1,905.46