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Maryland 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
$140.69 / $156.53 / $282.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.15 / $209.15 / $235.00
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 / $155.47 / $287.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $343.78 / $495.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.87 / $171.50 / $273.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $188.50 / $240.65