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Massachusetts rates for HCPCS L3806

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.10 / $212.42 / $212.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.42 / $246.52 / $425.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.51 / $1,011.08 / $2,319.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.99 / $352.07 / $474.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.83 / $627.79 / $808.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.98 / $364.98 / $374.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $278.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $278.04 / $577.50
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
$393.63 / $393.63 / $413.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.16 / $370.16 / $370.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.08 / $2,319.50 / $2,319.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.91 / $258.99 / $474.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $220.01 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.63 / $271.04 / $486.17