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Arkansas rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.79 / $196.79 / $196.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.71 / $196.79 / $196.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $404.54 / $449.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.78 / $343.78 / $354.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.78 / $343.78 / $343.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $283.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $212.98 / $276.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $159.49 / $213.36