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Massachusetts rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.47 / $139.47 / $139.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $139.47 / $219.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.21 / $606.48 / $1,485.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $211.83 / $311.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.64 / $184.64 / $548.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.02 / $283.23 / $283.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.64 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $403.50
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
$258.45 / $258.45 / $271.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.80 / $165.80 / $165.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.40 / $1,485.33 / $1,485.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.69 / $170.63 / $311.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $108.51 / $196.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.21 / $170.63 / $311.73