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Massachusetts rates for HCPCS L3908

Wrist-hand orthosis (WHO), wrist extension control cock-up, nonmolded, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $38.47 / $78.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $42.80 / $167.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $165.21 / $418.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $55.00 / $86.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.47 / $113.72 / $146.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $64.76 / $90.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $50.94 / $61.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $33.36 / $93.38
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
$71.30 / $71.30 / $74.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $46.25 / $47.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $418.29 / $418.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $43.93 / $86.00
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $59.90 / $68.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $43.93 / $88.06