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Texas 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
$130.72 / $314.00 / $560.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.72 / $138.56 / $253.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.42 / $252.42 / $252.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.10 / $142.10 / $177.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $238.86 / $298.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.58 / $298.58 / $298.58
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 / $127.75 / $231.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.89 / $1,382.94 / $1,382.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.20 / $1,495.20 / $2,173.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $224.15 / $298.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.45 / $268.72 / $298.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.72 / $304.55 / $685.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $179.50 / $298.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $175.00 / $236.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.68 / $300.68 / $353.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $159.50 / $189.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.94 / $159.35 / $298.58