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Massachusetts rates for HCPCS L3935

Finger orthosis (FO), nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.30 / $103.30 / $103.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.30 / $114.91 / $151.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.53 / $700.80 / $1,128.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.03 / $175.65 / $230.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.14 / $305.30 / $393.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.34 / $139.34 / $182.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $135.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $135.22 / $280.88
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
$191.42 / $191.42 / $200.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.85 / $180.85 / $180.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.73 / $1,128.10 / $1,128.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $117.95 / $230.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.50 / $126.38 / $236.42