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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
$79.23 / $79.23 / $79.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $79.23 / $141.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.79 / $336.93 / $998.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $135.00 / $177.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.89 / $104.89 / $311.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $160.91 / $160.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.89 / $113.00 / $127.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $271.50
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
$146.82 / $146.82 / $154.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.57 / $111.57 / $111.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.28 / $998.26 / $998.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.01 / $101.10 / $177.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.76 / $101.10 / $177.09