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Illinois 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
$181.04 / $258.14 / $258.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $183.47 / $319.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.35 / $712.85 / $3,030.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.55 / $267.70 / $267.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $385.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $272.49 / $356.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.51 / $389.55 / $479.50
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.91 / $457.91 / $457.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.81 / $175.72 / $311.16