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Massachusetts rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.31 / $267.31 / $267.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.31 / $281.93 / $486.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.38 / $1,726.44 / $2,919.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $454.49 / $597.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.61 / $542.82 / $542.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $449.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $726.75
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
$495.34 / $495.34 / $520.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.66 / $446.66 / $446.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $2,919.01 / $2,919.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.98 / $327.02 / $597.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.70 / $327.02 / $597.46