go back

Massachusetts rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.21 / $176.21 / $176.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.21 / $196.01 / $416.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.93 / $772.82 / $2,486.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.92 / $310.04 / $393.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.27 / $233.27 / $692.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.49 / $339.00 / $339.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.27 / $260.88 / $282.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $467.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.52 / $326.52 / $342.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.02 / $284.02 / $284.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.68 / $2,486.48 / $2,486.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.69 / $217.73 / $393.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.16 / $236.30 / $393.84