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Massachusetts rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $14.99 / $14.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $14.99 / $21.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $35.18 / $136.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $20.89 / $33.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $19.84 / $58.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $31.55 / $31.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $19.84 / $24.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $30.00
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
$27.77 / $27.77 / $29.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.23 / $136.52 / $136.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $18.34 / $33.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $18.34 / $28.85