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Massachusetts rates for HCPCS L3900

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Wrist Or Finger Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.66 / $626.66 / $626.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.66 / $697.09 / $1,121.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.89 / $2,526.98 / $8,295.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.21 / $1,089.02 / $1,400.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.30 / $1,852.05 / $2,385.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.08 / $1,105.68 / $1,105.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.59 / $891.35 / $1,005.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,827.08
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
$1,161.24 / $1,161.24 / $1,219.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.19 / $1,094.19 / $1,094.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,605.93 / $8,295.73 / $8,295.73
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.32 / $766.66 / $1,400.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.82 / $766.66 / $1,400.63