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Massachusetts rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.43 / $1,287.43 / $1,287.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.43 / $1,357.84 / $2,344.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,636.31 / $7,869.39 / $14,058.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.45 / $2,188.87 / $2,877.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.31 / $3,804.93 / $4,900.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.43 / $2,614.42 / $2,614.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $2,165.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $3,499.88
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
$2,385.69 / $2,385.69 / $2,504.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.09 / $2,151.09 / $2,151.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,128.43 / $14,058.21 / $14,058.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.00 / $1,575.05 / $2,877.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.73 / $1,745.45 / $2,877.50