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Massachusetts rates for HCPCS L3976

Shoulder Elbow Wrist Hand Finger Orthosis Abduction Positioning (Airplane Design) Thoracic Component And Support Bar Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.65 / $785.65 / $785.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.65 / $865.98 / $1,151.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.80 / $4,802.27 / $8,579.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.52 / $1,335.77 / $1,755.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.36 / $2,321.94 / $2,990.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.44 / $1,386.22 / $1,386.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.38 / $1,028.38 / $1,028.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.72 / $1,028.38 / $2,135.63
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
$1,455.87 / $1,455.87 / $1,528.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.16 / $1,369.16 / $1,369.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,739.91 / $8,579.00 / $8,579.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.22 / $897.07 / $1,755.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.40 / $897.07 / $1,755.99