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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
$581.30 / $581.30 / $581.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.51 / $186.28 / $737.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.26 / $326.05 / $589.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.64 / $300.85 / $409.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $212.98 / $306.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $196.64 / $1,640.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.72 / $156.97 / $236.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.87 / $156.97 / $236.45