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Massachusetts rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.81 / $225.96 / $670.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.96 / $251.36 / $383.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $941.10 / $2,758.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.02 / $344.67 / $505.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.91 / $667.81 / $860.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $298.00 / $398.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $299.14 / $362.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $644.25
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
$418.72 / $418.72 / $439.66
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.47 / $295.47 / $295.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.44 / $295.47 / $295.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.03 / $2,758.85 / $2,758.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.10 / $258.01 / $505.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.80 / $580.80 / $580.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $258.50 / $450.14