go back

Massachusetts rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.10 / $91.10 / $91.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $101.34 / $178.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $269.55 / $1,083.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.92 / $160.29 / $203.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.60 / $120.60 / $358.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.52 / $185.00 / $185.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.60 / $153.24 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $300.00
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
$168.82 / $168.82 / $177.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.13 / $146.13 / $146.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $1,083.05 / $1,083.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.18 / $116.25 / $203.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $116.26 / $203.62