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Massachusetts rates for HCPCS L6360

Interscapular Thoracic Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.36 / $1,670.36 / $1,670.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.36 / $1,858.09 / $3,009.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.58 / $6,335.06 / $24,212.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.69 / $2,939.00 / $3,733.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,057.70 / $4,936.66 / $6,357.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.32 / $3,392.05 / $3,392.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.29 / $2,809.85 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $5,909.25
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
$3,095.30 / $3,095.30 / $3,250.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,686.21 / $2,686.21 / $2,686.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,347.54 / $24,212.22 / $24,212.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.15 / $2,043.53 / $3,733.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.15 / $2,183.27 / $3,733.38