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Massachusetts rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $29.36 / $29.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $29.36 / $43.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.71 / $112.20 / $282.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.06 / $44.86 / $65.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $38.86 / $115.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $59.64 / $59.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $38.86 / $47.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $34.54 / $64.13
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
$54.43 / $54.43 / $57.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $282.67 / $282.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $35.93 / $65.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $36.77 / $64.01