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Massachusetts rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.08 / $361.08 / $361.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.08 / $396.26 / $651.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.53 / $1,492.85 / $4,313.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $621.73 / $807.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.02 / $478.02 / $1,419.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.15 / $733.24 / $733.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.02 / $607.41 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $649.92 / $1,058.63
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
$669.09 / $669.09 / $702.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.82 / $523.82 / $523.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.76 / $4,313.20 / $4,313.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $441.75 / $807.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.92 / $460.74 / $1,078.30