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Alaska rates for HCPCS L3913

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.54 / $372.73 / $720.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.92 / $248.31 / $327.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $225.62 / $244.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $85.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.37 / $275.37 / $434.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $175.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $225.62 / $264.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.10 / $277.17 / $361.53