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Massachusetts rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.71 / $99.71 / $99.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $99.71 / $161.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.13 / $404.32 / $1,145.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $152.47 / $222.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.75 / $340.35 / $436.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.43 / $202.48 / $202.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $131.99 / $159.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $274.50
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
$184.76 / $184.76 / $194.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $122.33 / $122.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.46 / $1,145.36 / $1,145.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.14 / $121.98 / $222.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.06 / $121.98 / $256.73