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Massachusetts rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Facilitymedian $537 · 10th–90th $339–$2,2910%20%10th90th$537Professionalmedian $562 · 10th–90th $339–$7760%20%10th90th$562$1.0$10.0$100.0$1.0K$10.0K

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
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $776.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $758.58 / $4,073.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $707.95
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
$676.08 / $676.08 / $1,023.29
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $478.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $758.58 / $4,073.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $575.44 / $1,023.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $575.44 / $676.08