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Massachusetts rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.85 / $1,216.85 / $1,216.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.85 / $1,245.89 / $2,341.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.00 / $3,964.58 / $17,638.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.00 / $2,141.06 / $2,719.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,956.02 / $3,596.34 / $4,631.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.03 / $2,471.10 / $2,471.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.92 / $2,046.97 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $3,808.13
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
$2,254.92 / $2,254.92 / $2,367.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.42 / $1,769.42 / $1,769.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,668.49 / $17,638.56 / $17,638.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.13 / $1,501.88 / $2,719.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.13 / $1,565.99 / $3,136.32