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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
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $549.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $2,951.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $407.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $812.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $2,951.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $416.87 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $537.03