go back

Massachusetts rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $234 · 10th–90th $178–$1,2020%20%10th90th$234Professionalmedian $234 · 10th–90th $145–$3980%20%10th90th$234$0.2$2.0$20.0$200.0$2.0K$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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $177.83 / $275.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $398.11 / $1,621.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $309.03 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $234.42 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $239.88
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
$354.81 / $354.81 / $537.03
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $398.11 / $1,621.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $309.03 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $229.09 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $239.88 / $354.81