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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
$2,089.30 / $2,089.30 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $4,365.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,897.79 / $22,908.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,548.13 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $6,309.57 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $3,019.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $6,456.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,897.79 / $22,908.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,630.78 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,311.31 / $4,168.69