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Illinois 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
$59.38 / $59.38 / $59.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $60.48 / $95.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.33 / $234.03 / $994.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $87.80 / $87.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $142.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $133.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.98 / $143.26 / $174.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $150.19 / $150.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $66.67 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.47 / $57.64 / $101.20