go back

Massachusetts rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Facilitymedian $89 · 10th–90th $68$4570%20%10th90th$89Professionalmedian $110 · 10th–90th $68$1550%20%10th90th$110$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
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $151.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $812.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $100.00 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $104.71
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
$134.90 / $134.90 / $204.17
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $812.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $134.90