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Maine 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
$122.72 / $278.43 / $491.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $175.94 / $175.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.80 / $334.01 / $619.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.35 / $169.30 / $169.30
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 / $236.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.69 / $234.69 / $234.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.17 / $122.72 / $377.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $175.94 / $211.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $144.61 / $332.56