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Massachusetts rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,456.54 / $12,882.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $12,589.25 / $58,884.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $8,912.51 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $15,848.93 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,709.64 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $8,709.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $16,218.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $12,589.25 / $58,884.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $9,332.54 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8,317.64 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $8,317.64 / $10,715.19