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Oklahoma 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
$167.42 / $167.42 / $424.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.22 / $167.42 / $188.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.02 / $310.02 / $310.02
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 / $272.49 / $306.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $212.65 / $1,640.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $168.77 / $350.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $159.65 / $225.20