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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
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $275.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $151.36 / $478.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $97.72 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $64.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $169.82
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $151.36 / $478.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $97.72 / $131.83
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $60.26 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $79.43 / $112.20