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Massachusetts rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $818.35 / $1,703.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,703.06