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Massachusetts rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $93.33 / $194.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $186.21 / $1,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $112.20 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $128.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $239.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $186.21 / $1,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $141.25 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $131.83 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $158.49