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Massachusetts rates for HCPCS L6688

Upper extremity addition, frame type socket, above elbow or elbow disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.60 / $293.60 / $293.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.60 / $307.83 / $521.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.10 / $1,227.46 / $3,603.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.20 / $488.80 / $656.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.65 / $388.65 / $1,154.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.99 / $596.21 / $596.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.65 / $493.87 / $528.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.78 / $528.47 / $888.38
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
$544.04 / $544.04 / $571.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.20 / $437.20 / $437.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.41 / $3,603.16 / $3,603.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.33 / $359.18 / $656.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.83 / $359.18 / $654.24