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Massachusetts rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.04 / $1,401.04 / $1,401.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.04 / $1,401.04 / $2,400.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.40 / $3,849.14 / $17,614.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.47 / $2,259.19 / $3,131.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.45 / $4,140.68 / $5,332.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.69 / $2,845.13 / $2,845.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $1,854.74 / $2,247.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,784.15 / $4,212.38
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
$2,596.21 / $2,596.21 / $2,726.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.05 / $1,814.05 / $1,814.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,376.07 / $17,614.71 / $17,614.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.57 / $1,714.03 / $3,131.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.37 / $1,758.63 / $3,131.42