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Massachusetts rates for HCPCS L3905

Wrist-hand orthosis (WHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.74 / $463.74 / $1,073.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.74 / $511.16 / $679.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.63 / $3,023.50 / $5,063.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.05 / $788.44 / $1,036.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.90 / $1,370.56 / $1,765.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.84 / $818.23 / $818.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $607.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $607.00 / $1,118.67
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
$859.34 / $859.34 / $902.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.83 / $774.83 / $774.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.44 / $5,063.85 / $5,063.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.41 / $529.51 / $1,036.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.75 / $529.51 / $1,036.51