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Massachusetts rates for HCPCS L5858

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

Facilitymedian $26,915 · 10th–90th $9,550$38,0190%20%10th90th$26,915Professionalmedian $15,136 · 10th–90th $9,550$21,3800%20%10th90th$15,136$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
$9,549.93 / $9,549.93 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,220.18 / $19,952.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $107,151.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $16,982.44 / $24,547.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $28,840.32 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $15,488.17
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
$19,054.61 / $19,054.61 / $28,840.32
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $107,151.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $16,982.44 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $15,135.61 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $15,488.17 / $19,054.61