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Washington, DC 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
$140.69 / $140.69 / $140.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $140.69 / $140.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.15 / $209.15 / $235.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $155.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.46 / $223.46 / $682.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.34 / $171.50 / $257.68