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Massachusetts rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Facilitymedian $100 · 10th–90th $35$1450%20%10th90th$100Professionalmedian $54 · 10th–90th $31$1620%10%20%10th90th$54$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $239.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $363.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $63.10 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $104.71 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $69.18
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $107.15
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $43.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $363.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $63.10 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $41.69 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $50.12 / $70.79