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Massachusetts rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Facilitymedian $6,761 · 10th–90th $2,399–$9,5500%20%10th90th$6,761Professionalmedian $3,802 · 10th–90th $2,399–$5,3700%20%10th90th$3,802$5.0$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
$2,398.83 / $2,398.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $4,786.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,370.32 / $27,542.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,265.80 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,079.46 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,801.89
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
$4,786.30 / $4,786.30 / $7,244.36
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,370.32 / $27,542.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,265.80 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,981.07 / $4,786.30