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Massachusetts rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.97 / $83.97 / $83.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $83.97 / $112.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.66 / $292.60 / $870.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $116.99 / $187.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.16 / $111.16 / $330.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $170.53 / $170.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $111.16 / $134.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $167.25
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
$155.61 / $155.61 / $163.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.58 / $91.58 / $91.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.60 / $870.20 / $870.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.91 / $102.73 / $187.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.17 / $102.73 / $170.83