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Massachusetts rates for HCPCS L5697

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

Facilitymedian $74 · 10th–90th $56$3800%20%10th90th$74Professionalmedian $74 · 10th–90th $43$1260%20%10th90th$74$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $91.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $125.89 / $524.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $75.86
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
$112.20 / $112.20 / $169.82
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $125.89 / $524.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $72.44 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $112.20