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Massachusetts rates for HCPCS L5400

Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee (BK)

Facilitymedian $1,778 · 10th–90th $631–$2,5700%20%10th90th$1,778Professionalmedian $1,096 · 10th–90th $631–$1,5140%20%10th90th$1,096$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
$630.96 / $630.96 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $1,548.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,412.54 / $7,762.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,148.15 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,862.09 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,174.90
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
$1,258.93 / $1,258.93 / $1,905.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,412.54 / $7,762.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,148.15 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,096.48 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,096.48 / $1,258.93