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Massachusetts rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.75 / $1,444.75 / $1,444.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.75 / $1,534.77 / $2,883.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.00 / $5,251.41 / $20,412.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.95 / $2,477.80 / $3,229.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.43 / $4,269.84 / $5,498.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.71 / $2,933.87 / $2,933.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,912.60 / $2,430.32 / $2,561.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,561.34 / $4,503.75
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
$2,677.20 / $2,677.20 / $2,811.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.16 / $2,268.16 / $2,268.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,886.61 / $20,412.75 / $20,412.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.96 / $1,833.75 / $3,229.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.64 / $1,888.36 / $3,229.10