go back

California 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
$158.49 / $263.03 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $229.09 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $154.88 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $165.96 / $363.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $501.19 / $676.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $549.54 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $173.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $269.15 / $478.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $295.12 / $371.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $281.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $131.83 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $295.12