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Massachusetts rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.64 / $37.64 / $37.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $37.64 / $60.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $149.09 / $404.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.84 / $61.60 / $84.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.83 / $49.83 / $148.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.41 / $76.45 / $76.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.83 / $50.36 / $60.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $50.36 / $90.38
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
$69.77 / $69.77 / $73.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.15 / $54.15 / $54.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.04 / $404.35 / $404.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $46.05 / $84.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.56 / $46.05 / $84.14