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Vermont 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
Professional
Modifier
Low / Median / High Price
$51.02 / $51.02 / $65.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $76.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $70.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $76.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $66.37 / $70.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $61.93 / $120.87