go back

Massachusetts rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.71 / $2,104.71 / $2,104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.71 / $2,219.81 / $3,833.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.63 / $10,018.87 / $22,982.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.56 / $3,488.48 / $4,704.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,259.71 / $6,220.35 / $8,010.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,154.28 / $4,274.09 / $4,274.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $3,540.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,721.75
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
$3,900.18 / $3,900.18 / $4,095.19
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,478.40 / $3,478.40 / $3,478.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,018.87 / $22,982.54 / $22,982.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.68 / $2,574.92 / $4,704.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.12 / $2,583.35 / $4,704.18