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Utah rates for HCPCS L3912

Hand Finger Orthosis (Hfo) Flexion Glove With Elastic Finger Control Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $33.67 / $33.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.67 / $61.38 / $402.21
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 / $66.37 / $70.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $76.31 / $99.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.55 / $102.10 / $102.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.14 / $73.19 / $109.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $52.16 / $61.26