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Connecticut 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
$62.68 / $167.09 / $210.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.61 / $164.32 / $174.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.43 / $343.78 / $393.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.64 / $191.64 / $200.79
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 / $296.93
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.46 / $223.46 / $223.46
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.46 / $223.46 / $316.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.75 / $261.75 / $261.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.88 / $171.50 / $285.83