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Missouri 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
$67.72 / $67.72 / $90.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.48 / $70.18 / $107.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.35 / $135.82 / $597.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $61.22 / $104.65
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 / $70.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.29 / $103.74 / $557.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $64.53 / $157.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $61.84 / $95.06