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Massachusetts rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.58 / $1,461.58 / $1,461.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.58 / $1,541.50 / $2,661.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,992.91 / $8,933.84 / $16,018.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.44 / $2,484.94 / $3,266.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,652.51 / $4,319.60 / $5,562.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.42 / $2,968.07 / $2,968.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,458.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $3,973.13
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
$2,708.41 / $2,708.41 / $2,843.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.99 / $1,997.99 / $1,997.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,957.42 / $16,018.84 / $16,018.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.69 / $1,788.10 / $3,266.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2,018.42 / $2,301.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.77 / $1,788.10 / $3,266.73