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Massachusetts rates for HCPCS L3675

Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

Facilitymedian $85 · 10th–90th $81$9120%20%40%10th90th$85Professionalmedian $126 · 10th–90th $78$2190%20%10th90th$126$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $95.50 / $173.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $912.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $144.54 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $154.88
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
$165.96 / $165.96 / $245.47
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $912.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $144.54 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $100.00 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $128.82 / $165.96