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Massachusetts rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.87 / $55.87 / $81.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.01 / $57.60 / $83.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.10 / $288.64 / $474.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.04 / $91.52 / $124.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.97 / $164.99 / $211.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $27.26 / $86.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.19 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $55.92 / $122.63
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
$103.51 / $103.51 / $108.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $25.37 / $25.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.02 / $474.60 / $474.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $60.05 / $124.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $62.43 / $103.51