go back

Massachusetts rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.03 / $363.03 / $363.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.03 / $363.03 / $574.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.53 / $1,492.85 / $4,330.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.09 / $554.95 / $811.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.59 / $480.59 / $1,427.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.48 / $737.20 / $737.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $480.59 / $582.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $900.00
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
$672.71 / $672.71 / $706.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.41 / $434.41 / $434.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.73 / $4,330.34 / $4,330.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.55 / $444.14 / $811.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.11 / $444.14 / $738.53