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Massachusetts rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Facilitymedian $2,455 · 10th–90th $871$4,4670%20%10th90th$2,455Professionalmedian $1,380 · 10th–90th $871$1,9500%20%10th90th$1,380$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
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,023.29 / $1,778.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,019.95 / $9,772.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,621.81 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,691.53 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,380.38 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $2,344.23
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
$1,737.80 / $1,737.80 / $2,630.27
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,019.95 / $9,772.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,621.81 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,380.38 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,412.54 / $1,737.80