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Massachusetts rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $208.93 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $426.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $1,096.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $173.78 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $295.12 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $138.04
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
$199.53 / $199.53 / $302.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $141.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $1,096.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $177.83 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $131.83 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $199.53