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Massachusetts rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.41 / $167.41 / $167.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.41 / $186.23 / $316.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.21 / $606.48 / $2,426.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.06 / $294.56 / $374.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.62 / $221.62 / $658.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.89 / $339.95 / $339.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.62 / $281.61 / $305.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.85 / $305.27 / $509.63
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
$310.23 / $310.23 / $325.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.89 / $262.89 / $262.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.31 / $2,426.63 / $2,426.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.37 / $206.42 / $374.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.41 / $224.51 / $387.35