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Massachusetts rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.87 / $55.87 / $55.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $60.04 / $86.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $168.47 / $474.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $85.07 / $124.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.00 / $68.00 / $201.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $119.51 / $158.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $60.32 / $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
Facility
Modifier
Low / Median / High Price
$25.37 / $25.37 / $25.37
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $25.37 / $80.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $474.60 / $474.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $63.79 / $124.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.86 / $127.86 / $127.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $63.79 / $103.51