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Arizona 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
$402.55 / $402.55 / $426.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $159.34 / $653.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $217.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $274.89 / $497.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.25 / $253.66 / $345.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $175.00 / $244.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $165.79 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.51 / $132.35 / $199.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.51 / $132.35 / $199.38