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Massachusetts rates for HCPCS L6586

Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.28 / $1,088.28 / $1,088.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.28 / $1,147.80 / $1,799.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.10 / $4,169.89 / $11,750.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.77 / $1,788.64 / $2,432.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.70 / $3,216.36 / $4,142.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.97 / $2,210.01 / $2,210.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.71 / $1,747.16 / $1,747.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.43 / $1,747.16 / $3,131.25
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
$2,016.67 / $2,016.67 / $2,117.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.79 / $1,693.79 / $1,693.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,482.73 / $11,750.92 / $11,750.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.96 / $1,331.41 / $2,432.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.77 / $1,331.41 / $2,260.57