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Kansas 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
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $275.42 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $263.03 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $234.42