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Massachusetts rates for HCPCS L3925

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), nontorsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.14 / $25.14 / $77.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.14 / $30.17 / $65.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.22 / $141.61 / $334.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.32 / $41.84 / $56.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.06 / $74.29 / $95.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $39.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $36.61 / $83.63
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
$46.59 / $46.59 / $48.92
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.78 / $75.78 / $75.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $334.02 / $334.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $29.29 / $56.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $29.55 / $54.42