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Massachusetts rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Facilitymedian $110 · 10th–90th $81$5620%20%10th90th$110Professionalmedian $120 · 10th–90th $72$1860%20%10th90th$120$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
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $85.11 / $177.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $186.21 / $851.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $109.65 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $125.89
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
$165.96 / $165.96 / $251.19
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $186.21 / $851.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $120.23 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $165.96