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Massachusetts rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.55 / $1,177.55 / $1,177.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.55 / $1,241.94 / $2,144.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.30 / $7,197.73 / $12,858.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.61 / $2,002.05 / $2,631.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,942.72 / $3,480.18 / $4,481.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.24 / $2,265.42 / $2,265.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $3,201.00
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
$2,182.08 / $2,182.08 / $2,291.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.11 / $2,052.11 / $2,052.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,605.38 / $12,858.35 / $12,858.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.76 / $1,440.62 / $2,631.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.51 / $1,440.62 / $2,631.91