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Massachusetts rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.68 / $45.68 / $45.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $50.81 / $81.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $234.53 / $662.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $79.61 / $102.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.66 / $163.83 / $210.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $70.70 / $70.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.47 / $66.37 / $73.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $133.88
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
$84.64 / $84.64 / $88.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.29 / $57.29 / $57.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.53 / $662.15 / $662.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.19 / $55.89 / $102.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $52.16 / $102.10