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Massachusetts rates for HCPCS L3760

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $269.15 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $1,148.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $2,570.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $338.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $707.95
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $2,570.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $275.42 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $467.74