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Massachusetts rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $309 · 10th–90th $229$1,5850%20%10th90th$309Professionalmedian $295 · 10th–90th $182$5130%20%10th90th$295$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
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$398.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$2,137.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$323.59
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$707.95
Health New England
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$2,137.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$467.74