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Massachusetts rates for HCPCS L6623

Upper Extremity Addition Spring Assisted Rotational Wrist Unit With Latch Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.91 / $369.91 / $369.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.91 / $411.48 / $680.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.21 / $1,526.03 / $3,942.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.10 / $609.17 / $826.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.70 / $489.70 / $1,454.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.38 / $751.19 / $751.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.70 / $496.34 / $593.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $998.63
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
$685.47 / $685.47 / $719.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.17 / $652.17 / $652.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.44 / $3,942.99 / $3,942.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.71 / $452.55 / $826.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.70 / $452.55 / $769.91