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Missouri 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
$183.47 / $183.47 / $244.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.04 / $190.14 / $290.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.46 / $367.98 / $1,617.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.81 / $191.64 / $283.67
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 / $296.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.26 / $285.20 / $1,640.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.05 / $174.85 / $425.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.05 / $174.85 / $266.08