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Massachusetts rates for HCPCS L7190

Electronic Elbow Adolescent Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,334.09 / $4,334.09 / $4,334.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,334.09 / $4,442.75 / $7,139.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,200.00 / $16,400.80 / $46,975.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,523.51 / $7,152.60 / $9,687.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,528.51 / $12,809.14 / $16,495.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,495.36 / $8,801.35 / $8,801.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,737.63 / $6,553.03 / $6,954.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $6,553.03 / $11,743.88
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
$8,031.38 / $8,031.38 / $8,432.95
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,886.31 / $5,886.31 / $5,886.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,564.00 / $46,975.22 / $46,975.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,874.80 / $5,302.34 / $9,687.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,308.14 / $5,302.34 / $9,687.01