go back

Idaho 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
$54.93 / $94.07 / $122.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $87.44
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 / $98.19 / $139.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.46 / $132.43 / $139.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $104.14 / $125.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.07 / $136.13 / $204.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $97.58 / $146.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.22 / $52.16 / $93.14