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Massachusetts rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Facilitymedian $3,467 · 10th–90th $1,230–$5,1290%20%10th90th$3,467Professionalmedian $2,042 · 10th–90th $1,230–$2,7540%20%10th90th$2,042$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,479.11 / $2,511.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,884.03 / $14,454.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,238.72 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,715.35 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,698.24 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $2,187.76
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
$2,511.89 / $2,511.89 / $3,715.35
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,884.03 / $14,454.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,238.72 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,041.74 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,089.30 / $2,511.89