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Arizona 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
$52.44 / $58.55 / $322.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $111.90 / $202.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.43 / $103.24 / $140.66
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 / $48.45 / $133.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $94.07 / $557.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.09 / $52.16 / $78.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $52.16 / $78.56