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Massachusetts rates for HCPCS L3916

Wrist-hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.57 / $248.57 / $248.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.57 / $273.98 / $364.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $555.57 / $2,714.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.15 / $412.00 / $555.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.53 / $89.53 / $265.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.04 / $368.04 / $391.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $325.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $675.75
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
$460.61 / $460.61 / $483.64
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.77 / $336.77 / $336.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,714.31 / $2,714.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.48 / $285.27 / $555.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.23 / $305.10 / $555.57