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Massachusetts rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.35 / $1,625.35 / $1,625.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.35 / $1,714.26 / $2,960.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.93 / $3,632.78 / $17,752.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.03 / $2,694.65 / $3,632.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.22 / $3,300.65 / $3,300.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $2,381.07 / $4,418.63
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
$3,011.89 / $3,011.89 / $3,162.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,737.08 / $17,752.32 / $17,752.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.11 / $2,287.85 / $3,632.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.03 / $2,287.85 / $3,632.78