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Massachusetts rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.21 / $150.21 / $151.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.21 / $167.09 / $220.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $979.30 / $1,640.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.53 / $255.37 / $335.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.36 / $443.92 / $571.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.12 / $225.12 / $265.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $212.98 / $408.38
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
$278.33 / $278.33 / $292.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.48 / $444.48 / $564.41
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.75 / $261.75 / $261.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.05 / $1,640.11 / $1,640.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.81 / $171.50 / $335.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.03 / $176.64 / $335.72