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Massachusetts rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $3,090 · 10th–90th $1,096$4,7860%20%10th90th$3,090Professionalmedian $1,413 · 10th–90th $851$2,4550%20%10th90th$1,413$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
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $1,819.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,570.40 / $10,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,905.46 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,235.94 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,445.44 / $1,737.80
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
$2,187.76 / $2,187.76 / $3,311.31
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,570.40 / $10,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,905.46 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,412.54 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,445.44 / $2,187.76