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Massachusetts rates for HCPCS L3807

Wrist Hand Finger Orthosis Without Joint(S) Pre-Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.76 / $116.93 / $245.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $140.32 / $300.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.88 / $762.36 / $1,281.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $198.80 / $261.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.06 / $345.59 / $445.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.71 / $157.71 / $180.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $196.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $282.16
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
$216.67 / $216.67 / $227.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.11 / $121.11 / $121.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $161.44 / $161.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.61 / $1,281.52 / $1,281.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $133.51 / $261.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $193.80 / $243.06