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Massachusetts rates for HCPCS L6500

Above Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.16 / $1,825.16 / $1,825.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.16 / $1,825.16 / $3,261.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.75 / $6,745.62 / $19,545.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.62 / $2,930.32 / $4,079.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,433.75 / $5,394.16 / $6,946.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,735.32 / $3,706.40 / $3,706.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.21 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,970.85 / $4,887.38
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
$3,382.15 / $3,382.15 / $3,551.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.14 / $2,473.14 / $2,473.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,558.34 / $19,545.97 / $19,545.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.75 / $2,232.91 / $4,079.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.24 / $2,232.91 / $3,837.43