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Massachusetts rates for HCPCS L3984

Upper Extremity Fracture Orthosis Wrist Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.17 / $208.17 / $208.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.18 / $208.17 / $286.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $770.26 / $2,403.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.35 / $300.23 / $465.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.58 / $275.58 / $818.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.19 / $483.29 / $622.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.10 / $275.33 / $334.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $237.10 / $390.30
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
$385.76 / $385.76 / $405.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.90 / $285.56 / $285.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.26 / $2,403.12 / $2,403.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.46 / $237.70 / $465.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.89 / $240.18 / $405.92