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Massachusetts rates for HCPCS L3919

Hand Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.65 / $126.65 / $467.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.65 / $140.88 / $185.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.35 / $846.00 / $1,382.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.18 / $215.33 / $283.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.50 / $374.31 / $482.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.82 / $189.82 / $223.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $344.25
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
$234.69 / $234.69 / $246.42
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.93 / $368.93 / $368.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.69 / $220.69 / $220.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.83 / $1,382.94 / $1,382.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $144.61 / $283.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.18 / $154.94 / $283.07