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Massachusetts rates for HCPCS L3904

Wrist-hand-finger orthosis (WHFO), external powered, electric, custom fabricated

Facilitymedian $4,169 · 10th–90th $1,479–$5,8880%20%10th90th$4,169Professionalmedian $2,089 · 10th–90th $1,445–$3,5480%20%10th90th$2,089$5.0$20.0$100.0$500.0$2.0K$10.0K$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
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,862.09 / $3,548.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,467.37 / $17,378.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,630.27 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,466.84 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,995.26 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $2,570.40
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
$2,951.21 / $2,951.21 / $4,466.84
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,467.37 / $17,378.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,630.27 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,905.46 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,290.87 / $3,019.95