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Alaska rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.06 / $135.41 / $178.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $66.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $70.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $33.67 / $33.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $150.16 / $237.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $33.67 / $66.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $70.75 / $132.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.40 / $151.16 / $197.16