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Missouri 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
$36.90 / $78.30 / $160.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $160.34 / $253.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.86 / $238.86 / $238.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.52 / $310.31 / $1,364.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.86 / $159.35 / $239.21
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 / $236.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.32 / $239.21 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.66 / $147.44 / $359.22
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.69 / $274.69 / $274.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.74 / $353.74 / $424.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.66 / $147.44 / $262.33