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Massachusetts rates for HCPCS L3720

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Free Motion Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.05 / $315.05 / $315.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.05 / $350.46 / $474.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.57 / $941.10 / $4,566.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $549.05 / $704.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.08 / $417.08 / $1,238.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.38 / $519.38 / $555.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.08 / $450.57 / $505.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $868.50
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
$583.80 / $583.80 / $613.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.65 / $506.65 / $506.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.44 / $4,566.79 / $4,566.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.17 / $385.44 / $704.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.67 / $385.44 / $704.17