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Massachusetts rates for HCPCS L5696

Addition to lower extremity, above knee (AK) or knee disarticulation, pelvic joint

Facilitymedian $166 · 10th–90th $123$8510%20%10th90th$166Professionalmedian $166 · 10th–90th $105$2750%20%10th90th$166$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
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $123.03 / $218.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $1,202.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $213.80 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $165.96 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $173.78
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
$251.19 / $251.19 / $371.54
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $1,202.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $213.80 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $165.96 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $251.19