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Arizona 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
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $208.93 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $234.42 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $204.17 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $234.42