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Massachusetts rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.88 / $1,180.88 / $1,180.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.88 / $1,264.61 / $2,376.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,418.11 / $7,218.06 / $16,970.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.67 / $2,059.96 / $2,639.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.04 / $3,490.02 / $4,494.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.75 / $2,398.05 / $2,398.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $3,804.00
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
$2,188.25 / $2,188.25 / $2,297.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.29 / $1,959.29 / $1,959.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,660.73 / $16,970.52 / $16,970.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,506.82 / $2,639.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.99 / $1,444.70 / $2,639.34