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Massachusetts rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $316.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $1,659.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $229.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $467.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $1,659.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $269.15 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $239.88 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $309.03