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Massachusetts rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $35,481 · 10th–90th $12,589$50,1190%20%10th90th$35,481Professionalmedian $19,498 · 10th–90th $12,589$28,1840%20%10th90th$19,498$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$12,589.25 / $12,589.25 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,454.40 / $25,703.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $28,183.83 / $138,038.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $32,359.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $37,153.52 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $19,054.61
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
$25,118.86 / $25,118.86 / $38,018.94
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $28,183.83 / $138,038.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $32,359.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,498.45 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $19,952.62 / $25,118.86