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Oregon 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
$151.16 / $206.22 / $991.87
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 / $212.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $666.18 / $868.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.22 / $282.52 / $343.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $323.14 / $360.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.89 / $343.78 / $378.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.39 / $343.78 / $360.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.22 / $301.02 / $360.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $301.02 / $378.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.41 / $571.67 / $1,206.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.64 / $378.16 / $378.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.37 / $156.97 / $300.85