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Massachusetts rates for HCPCS L3927

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $16.34 / $50.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $19.73 / $66.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.18 / $106.53 / $178.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $27.11 / $36.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.82 / $48.28 / $62.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.60 / $36.39 / $50.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $24.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $24.80 / $44.63
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
$30.28 / $30.28 / $31.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $178.59 / $178.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.24 / $18.64 / $36.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $21.41 / $36.52