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Massachusetts rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.52 / $1,596.52 / $1,596.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.52 / $1,683.86 / $2,907.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.92 / $7,599.79 / $17,433.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.47 / $2,646.19 / $3,568.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,989.73 / $4,718.43 / $6,076.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.66 / $3,242.10 / $3,242.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,685.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $4,340.25
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
$2,958.47 / $2,958.47 / $3,106.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.54 / $2,626.54 / $2,626.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,599.79 / $17,433.41 / $17,433.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.34 / $1,953.19 / $3,568.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.29 / $1,959.60 / $3,568.35