go back

Massachusetts rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Facilitymedian $331 · 10th–90th $245$1,6980%20%10th90th$331Professionalmedian $324 · 10th–90th $200$5620%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
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $245.47 / $426.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $562.34 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $436.52 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $331.13 / $398.11
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
$501.19 / $501.19 / $758.58
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
$512.86 / $562.34 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $436.52 / $645.65
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 / $501.19