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Massachusetts rates for HCPCS L6920

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,999.73 / $3,999.73 / $3,999.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.73 / $3,999.73 / $6,733.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,085.00 / $16,038.09 / $42,519.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,996.14 / $6,337.86 / $8,939.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,716.26 / $11,820.95 / $15,223.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,994.29 / $8,122.35 / $8,122.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,294.99 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $11,723.63
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
$7,411.76 / $7,411.76 / $7,782.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,089.06 / $5,089.06 / $5,089.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,528.88 / $42,519.53 / $42,519.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.87 / $4,893.30 / $8,939.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.11 / $10,680.11 / $10,680.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,975.80 / $4,893.30 / $8,010.09