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Massachusetts rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Facilitymedian $12,882 · 10th–90th $4,677–$18,6210%20%10th90th$12,882Professionalmedian $6,918 · 10th–90th $4,571–$10,4710%20%10th90th$6,918$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,248.07 / $9,120.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $48,977.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,128.31 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $13,803.84 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,244.36 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $7,413.10
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $14,125.38
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $48,977.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,128.31 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,918.31 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,079.46 / $9,332.54