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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
$290.20 / $290.20 / $290.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $190.14 / $290.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.68 / $272.29 / $289.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.89 / $285.89 / $285.89
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 / $510.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $282.45 / $1,640.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $174.85 / $335.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $174.27 / $234.18