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Virginia 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
$63.52 / $63.52 / $160.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $63.52 / $65.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.47 / $128.47 / $136.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $61.22 / $76.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.00 / $87.82
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 / $66.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.93 / $115.62 / $154.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $75.00 / $146.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $160.59 / $213.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.11 / $96.96 / $160.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.11 / $96.96 / $160.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.36 / $64.09 / $96.55