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Massachusetts rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.11 / $43.11 / $43.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $43.97 / $82.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $198.78 / $571.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $71.14 / $96.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.06 / $57.06 / $169.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $87.54 / $87.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.06 / $59.82 / $69.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $59.82 / $107.25
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
$79.89 / $79.89 / $83.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.46 / $62.46 / $62.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.08 / $571.00 / $571.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $52.74 / $96.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.21 / $120.21 / $120.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $52.83 / $95.95