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North Carolina 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
$92.78 / $100.68 / $160.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $92.78 / $92.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $101.94 / $193.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $79.45 / $84.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $66.37 / $66.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $133.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $92.78 / $124.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $73.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $114.43 / $177.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $52.86 / $78.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.65 / $662.15 / $662.15
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.32 / $711.32 / $784.13