go back

Massachusetts rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.47 / $54.47 / $84.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.35 / $60.59 / $221.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.06 / $274.68 / $789.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $94.92 / $121.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.32 / $160.97 / $207.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.31 / $124.14 / $168.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.04 / $86.64 / $91.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $86.64 / $133.76
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
$100.93 / $100.93 / $105.98
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $75.81 / $75.81
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $75.81 / $75.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.68 / $789.50 / $789.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $64.56 / $121.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $66.64 / $140.40