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Massachusetts rates for HCPCS L3710

Elbow Orthosis Elastic With Metal Joints Pre- Fabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $74.77 / $74.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.77 / $80.48 / $96.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $317.83 / $724.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $107.83 / $167.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.99 / $98.99 / $294.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.06 / $166.54 / $231.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $98.99 / $119.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $85.16 / $226.88
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
$138.57 / $138.57 / $145.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.55 / $101.55 / $101.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.83 / $724.80 / $724.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $85.38 / $167.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.62 / $85.38 / $143.38