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Massachusetts rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.37 / $241.37 / $241.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.22 / $241.37 / $349.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.14 / $861.51 / $2,618.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.78 / $406.80 / $539.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.52 / $319.52 / $948.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.90 / $490.14 / $490.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $319.52 / $387.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $492.00
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
$447.26 / $447.26 / $469.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.19 / $264.19 / $264.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.51 / $2,618.87 / $2,618.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.69 / $295.29 / $539.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.32 / $295.29 / $447.26