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Massachusetts rates for HCPCS L3671

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $933.25 / $4,570.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $741.31 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $562.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,288.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $933.25 / $4,570.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $741.31 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $512.86 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $851.14