go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$168.13 / $168.13 / $262.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.20 / $293.20 / $293.20
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 / $175.00 / $325.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $127.75 / $175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $132.35 / $146.94