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Maine 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
$63.46 / $63.46 / $187.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $63.46 / $63.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.99 / $120.47 / $223.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $66.72 / $66.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $76.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $66.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.64 / $84.64 / $84.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.92 / $187.92 / $187.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.87 / $63.46 / $63.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $56.26 / $119.94