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Massachusetts rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.87 / $1,938.87 / $1,938.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.87 / $2,044.89 / $3,531.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,970.28 / $11,851.29 / $21,171.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.24 / $3,296.42 / $4,333.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,845.27 / $5,730.22 / $7,379.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,030.66 / $3,937.32 / $3,937.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,270.63
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
$3,592.86 / $3,592.86 / $3,772.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,378.84 / $3,378.84 / $3,378.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,229.31 / $21,171.57 / $21,171.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.41 / $2,474.01 / $4,333.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.89 / $2,474.01 / $4,333.52