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Massachusetts rates for HCPCS L6650

Upper Extremity Addition Shoulder Universal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.57 / $193.57 / $193.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.57 / $199.21 / $317.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $774.94 / $2,572.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.68 / $319.44 / $432.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.26 / $256.26 / $761.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.10 / $393.08 / $393.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.26 / $280.67 / $310.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $552.75
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
$358.69 / $358.69 / $376.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.79 / $317.79 / $317.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.80 / $2,572.98 / $2,572.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.05 / $236.82 / $432.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.41 / $262.44 / $432.63