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Massachusetts rates for HCPCS L6930

Below Elbow 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
$3,899.69 / $3,899.69 / $3,899.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,899.69 / $3,899.69 / $6,775.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,779.89 / $15,075.80 / $42,111.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,020.92 / $6,377.16 / $8,716.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,473.25 / $11,525.30 / $14,842.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,844.36 / $7,919.21 / $7,919.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.56 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $11,291.63
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
$7,226.40 / $7,226.40 / $7,587.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,120.60 / $5,120.60 / $5,120.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,772.20 / $42,111.30 / $42,111.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,486.44 / $4,770.89 / $8,716.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,876.36 / $4,770.89 / $8,059.76