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Massachusetts rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.61 / $1,103.61 / $1,103.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.61 / $1,103.61 / $1,916.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.53 / $4,250.10 / $14,394.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.47 / $1,804.01 / $2,466.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,680.96 / $3,261.69 / $4,200.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.39 / $2,241.17 / $2,241.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,461.04 / $1,770.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,040.02 / $3,478.88
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
$2,045.09 / $2,045.09 / $2,147.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.56 / $1,448.56 / $1,448.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,091.66 / $14,394.16 / $14,394.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.67 / $1,350.19 / $2,466.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.03 / $1,350.19 / $2,466.67