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Massachusetts rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.01 / $66.01 / $66.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $66.01 / $96.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.79 / $320.76 / $636.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.35 / $101.70 / $147.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.36 / $195.09 / $251.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.18 / $139.78 / $193.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $87.38 / $105.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $131.25
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
$122.32 / $122.32 / $128.44
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.01 / $72.00 / $72.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $81.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.02 / $636.98 / $636.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $75.37 / $147.54
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.75 / $102.75 / $117.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $75.37 / $126.57