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Massachusetts rates for HCPCS L6955

Above Elbow External Power Molded Inner Socket Removable Humeral Shell Internal Locking Elbow Forearm Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,335.83 / $6,335.83 / $6,335.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,335.83 / $6,412.86 / $11,188.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,932.60 / $25,019.42 / $76,453.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,080.52 / $11,020.45 / $14,161.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,391.19 / $18,725.15 / $24,114.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,495.33 / $12,178.95 / $12,178.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,387.60 / $9,418.01 / $10,165.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,875.15 / $9,418.01 / $16,878.38
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
$11,740.73 / $11,740.73 / $12,327.77
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,107.54 / $9,107.54 / $9,107.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,554.61 / $76,453.96 / $76,453.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,959.70 / $7,751.29 / $14,161.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,164.85 / $7,164.85 / $7,164.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,959.70 / $7,751.29 / $14,161.03