go back

Arkansas rates for HCPCS L3912

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.39 / $76.39 / $76.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $76.39 / $76.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.65 / $157.04 / $174.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.95 / $105.95 / $128.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.47 / $128.47 / $128.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $109.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $107.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $61.91 / $82.72