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Massachusetts rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.93 / $116.93 / $116.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $153.37 / $390.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.88 / $692.02 / $1,281.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.11 / $203.10 / $261.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.69 / $403.24 / $558.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.14 / $252.15 / $329.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $146.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $318.00
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 / $161.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $161.44 / $167.57
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 / $134.19 / $261.35
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.88 / $208.88 / $208.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $167.57 / $257.73