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Massachusetts rates for HCPCS L3671

Shoulder Orthosis Shoulder Joint Design Without Joints May Includ Soft Interface Straps Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.37 / $421.37 / $421.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.37 / $464.45 / $617.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.84 / $2,747.20 / $4,601.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.83 / $716.37 / $941.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.00 / $1,245.33 / $1,603.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.33 / $743.46 / $743.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.53 / $551.53 / $551.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.93 / $402.62 / $1,145.25
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
$780.82 / $780.82 / $819.86
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.01 / $704.01 / $704.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.70 / $4,601.05 / $4,601.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.96 / $481.12 / $941.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.21 / $515.50 / $964.39