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Massachusetts rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Facilitymedian $3,715 · 10th–90th $1,318–$5,4950%20%10th90th$3,715Professionalmedian $1,698 · 10th–90th $1,096–$2,9510%20%10th90th$1,698$2.0$10.0$50.0$200.0$1.0K$5.0K$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
$1,318.26 / $1,318.26 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,318.26 / $2,089.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,090.30 / $12,302.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,290.87 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,981.07 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,737.80 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,778.28
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
$2,630.27 / $2,630.27 / $3,981.07
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,090.30 / $12,302.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,290.87 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,698.24 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,778.28 / $2,630.27