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Massachusetts rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Facilitymedian $316 · 10th–90th $234$1,6220%20%10th90th$316Professionalmedian $324 · 10th–90th $214$5250%20%10th90th$324$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $426.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $316.23 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $346.74
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
$478.63 / $478.63 / $707.95
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $323.59 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $478.63