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Massachusetts rates for HCPCS L3702

Elbow Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.03 / $135.03 / $347.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.03 / $157.57 / $197.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.49 / $901.91 / $1,474.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $229.58 / $301.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.44 / $399.07 / $513.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.42 / $112.42 / $238.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $367.13
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
$250.21 / $250.21 / $262.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $235.25 / $235.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.78 / $1,474.48 / $1,474.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $154.18 / $301.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.72 / $154.18 / $301.79