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Massachusetts rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.45 / $352.45 / $352.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.45 / $368.44 / $683.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.16 / $1,376.76 / $4,603.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.86 / $581.65 / $787.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.58 / $466.58 / $1,385.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.20 / $715.73 / $715.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.58 / $592.88 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $1,134.75
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
$653.11 / $653.11 / $685.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.67 / $583.67 / $583.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,986.78 / $4,603.08 / $4,603.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.10 / $431.18 / $787.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.34 / $440.26 / $751.38