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Montana rates for HCPCS L3913

Hand Finger Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.59 / $333.59 / $333.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $175.27 / $666.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $293.20 / $293.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $315.25 / $315.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $315.25 / $315.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $300.24 / $315.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $236.61 / $315.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $132.35 / $220.59