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Massachusetts rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.57 / $326.57 / $326.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.57 / $326.57 / $530.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $1,304.80 / $4,251.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $531.08 / $729.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.33 / $432.33 / $1,284.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.36 / $663.17 / $663.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $432.33 / $524.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $895.13
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
$605.15 / $605.15 / $635.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.44 / $426.44 / $426.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.34 / $4,251.01 / $4,251.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.95 / $399.53 / $729.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.62 / $399.53 / $680.80