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New York 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
$147.91 / $281.84 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $537.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $288.40 / $288.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $562.34 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $407.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $575.44 / $1,348.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $371.54 / $676.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $263.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $218.78 / $251.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $295.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $208.93 / $263.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $218.78 / $251.19