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Idaho 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
Professional
Modifier
Low / Median / High Price
$135.46 / $301.02 / $301.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $215.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $227.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $242.15 / $343.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.39 / $326.58 / $343.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $256.83 / $309.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.02 / $335.72 / $503.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $249.23 / $360.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $156.97 / $240.21