go back

Massachusetts rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.69 / $150.69 / $150.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.69 / $150.69 / $201.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.67 / $680.49 / $1,316.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.65 / $215.67 / $336.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.50 / $199.50 / $592.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.84 / $306.02 / $306.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $199.50 / $241.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $399.75
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
$279.25 / $279.25 / $293.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.36 / $164.36 / $164.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.15 / $1,316.67 / $1,316.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.05 / $184.36 / $336.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $107.54 / $194.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.31 / $184.36 / $279.25