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Arizona rates for HCPCS L3900

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Wrist Or Finger Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.59 / $798.83 / $1,508.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.51 / $1,656.37 / $2,994.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.28 / $1,528.37 / $2,082.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,291.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $1,166.95 / $7,437.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.55 / $711.65 / $1,072.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.21 / $711.65 / $1,072.01