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Utah 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
$85.45 / $124.47 / $160.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.45 / $165.77 / $666.00
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 / $244.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.89 / $219.18 / $284.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.89 / $293.20 / $293.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.96 / $210.17 / $315.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.69 / $132.35 / $169.47