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Massachusetts rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $45 · 10th–90th $31$2140%20%10th90th$45Professionalmedian $46 · 10th–90th $30$710%20%10th90th$46$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$57.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$338.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$47.86
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
$63.10
Median
$63.10
Typical High
$95.50
Health New England
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$338.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$45.71
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$63.10