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Massachusetts rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.28 / $1,742.28 / $1,742.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.28 / $1,742.28 / $2,611.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,034.00 / $6,415.24 / $18,460.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.98 / $2,579.14 / $3,894.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,232.41 / $5,149.21 / $6,631.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,611.11 / $3,538.10 / $3,538.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,306.50 / $2,476.09 / $2,795.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $4,437.38
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
$3,228.57 / $3,228.57 / $3,390.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.91 / $2,018.91 / $2,018.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,770.27 / $18,460.07 / $18,460.07
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.64 / $2,131.52 / $3,894.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.34 / $2,131.52 / $3,466.35