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Massachusetts rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $28 · 10th–90th $21$1380%20%10th90th$28Professionalmedian $27 · 10th–90th $17$470%20%10th90th$27$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $33.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $199.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $37.15 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $31.62
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $63.10
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $199.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $37.15 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $20.89 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $42.66