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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
$233.85 / $233.85 / $269.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.43 / $272.88 / $431.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.72 / $1,383.91 / $2,563.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.91 / $397.59 / $522.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.07 / $691.13 / $890.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.93 / $558.29 / $762.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $393.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $635.63
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
$433.34 / $433.34 / $455.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.14 / $271.14 / $271.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.60 / $304.60 / $304.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.23 / $2,563.00 / $2,563.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $267.01 / $522.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.13 / $376.60 / $455.01