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Montana 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 / $69.06 / $402.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.10 / $102.10 / $102.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $109.78 / $109.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $89.27 / $109.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.29 / $104.55 / $109.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $82.40 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $52.16 / $79.81