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Wisconsin 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
$149.80 / $209.71 / $407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.80 / $185.00 / $442.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.95 / $326.66 / $540.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.26 / $276.17 / $365.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.63 / $635.49 / $635.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $655.22 / $1,240.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $347.69 / $562.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $223.20 / $341.50
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.03 / $289.86 / $356.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $296.95 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.68 / $155.56 / $323.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $224.70 / $341.50
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.03 / $289.86 / $356.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.95 / $457.02 / $793.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $580.00 / $1,382.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $175.00 / $1,495.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.95 / $296.95 / $296.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.12 / $296.95 / $296.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.49 / $424.49 / $424.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $148.15 / $263.29