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Massachusetts rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.53 / $66.53 / $66.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $71.38 / $121.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $269.55 / $921.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.62 / $111.90 / $148.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $88.08 / $261.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $135.09 / $135.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $97.54 / $106.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $174.75
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
$123.28 / $123.28 / $129.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.87 / $105.87 / $105.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.08 / $921.88 / $921.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $81.39 / $148.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.48 / $81.39 / $148.69